Inspection Detail

Inspection: 120317508 - Western Filter Corporation

Inspection Information - Office: Van Nuys District Office

Inspection Nr: 120317508

Report ID: 0950643

Date Opened: 07/23/2003

Site Address:
Western Filter Corporation
26235 Technology Dr.
Valencia, CA 91355

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:3569

NAICS: 333999/All Other Miscellaneous General Purpose Machinery Manufacturing

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 12/01/2003

Emphasis:

Case Closed: 05/17/2006

Related Activity
Type	Activity Nr	Safety	Health
Accident	362520371

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			2		3
Current Violations	1			2		3
Initial Penalty	$2,925	$0	$0	$5,325	$0	$8,250
Current Penalty	$2,925	$0	$0	$325	$0	$3,250
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event
1.	01001	Other	342 A	12/01/2003	12/15/2003	$0	$5,000	$0	12/23/2003	F - Formal Settlement
2.	01002	Other	3203 B	12/01/2003	12/15/2003	$325	$325	$0		-
3.	02001	Serious	4002 A	12/01/2003	12/15/2003	$2,925	$2,925	$0		-

Investigation Summary

Investigation Nr: 201116084

Event: 06/02/2003

Employee sustaines ventral hernia when lifted paper roll

At 10:45 a.m. on June 2, 2003, Employee #1 was setting up and operating pleat machines. The raw material fed to Chandler machine, Serial Number 220, Model 201-20, was a horizontal roll of paper weighing 109 lb, 48 in. long, and 18 in. above the floor. The roll was positioned on the rack and centered by tapered plugs. Prior to the accident, one of the tapered plugs slid out of the roll, causing the roll to be crooked. Employee #1 crouched down and lifted one end of the roll, trying to slide the tapered plug back into the roll. Employee #1 sustained a ventral hernia and was taken to First Care Clinic. Then, he was transferred to Holy Cross Hospital and hospitalized for 2 days.

Keywords: ABDOMEN, PAPER

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	120317508			Hospitalized injury	Hernia	Machine operators, not specified

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