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Occupational Safety and Health Administration OSHA

Inspection Detail

Inspection: 1226386.015 - Arclin Surfaces, Llc.

Inspection Information - Office: Eau Clair

Nr: 1226386.015Report ID: 0523900Open Date: 04/20/2017

Arclin Surfaces, Llc.
15859 Dyno Drivenull
Hayward, WI 54843
Union Status: NonUnion
NAICS: 322222/Coated and Laminated Paper Manufacturing
Mailing: 15859 Dyno Drivenull, Hayward, WI 54843

Inspection Type:Referral
Scope:Partial Advanced Notice:N
Safety/Health:Safety Close Conference:04/20/2017
Emphasis: N:AmputateClose Case:09/05/2017

Related Activity:TypeIDSafetyHealth
 Referral1202230 Yes Yes

Violation Summary
Serious Willful Repeat Other Unclass Total
Initial Violations 2 1 3
Current Violations 2 1 3
Initial Penalty $17,746 $0 $17,745 $0 $0 $35,491
Current Penalty $10,650 $0 $10,645 $0 $0 $21,295
FTA Amount $0 $0 $0 $0 $0 $0

Violation Items
# ID Type Standard Issuance Abate Curr$ Init$ Fta$ Contest LastEvent
  1. 01001 Serious 19100147 C04 I 08/04/2017 08/18/2017 $5,325 $8,873 $0 I - Informal Settlement
  2. 01002 Serious 19100147 D03 08/04/2017 08/18/2017 $5,325 $8,873 $0 I - Informal Settlement
  3. 02001 Repeat 19100147 D04 I 08/04/2017 08/18/2017 $10,645 $17,745 $0 I - Informal Settlement

Accident Investigation Summary
Summary Nr: 97482.015Event: 04/15/2017Employee'S Finger And Arm Are Fractured When Cleaning Inside
At 2:30 a.m. on April 15, 2017, an employee was removing paint from the inside o f the day tank in line # 3 using a water hose. The water hose was pulled into th e tank by the agitator and injured the employees right hand and right arm. The a gitator was not locked out. The employee sustained cuts and fractures to right a rm and little finger.
Keywords: arm, cleaning, finger, fracture, hose, laceration, lockout/tagout, tank
Inspection Degree Nature Occupation
1 1226386.015 Hospitalized injury Laborers, except construction

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