Inspection Detail

Inspection: 125753657 - Insulfoam

Inspection Information - Office: American Canyon District Office

Inspection Nr: 125753657

Report ID: 0950622

Date Opened: 06/05/2002

Site Address:
Insulfoam
1155-A Business Park Dr.
Dixon, CA 95620

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:3086

NAICS: 0

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 08/13/2002

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 06/24/2005

Related Activity
Type	Activity Nr	Safety	Health
Accident	101480606

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	3			2		5
Current Violations	1			4		5
Initial Penalty	$47,700	$0	$0	$400	$0	$48,100
Current Penalty	$9,000	$0	$0	$2,400	$0	$11,400
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	08/15/2002	08/20/2002	$200	$200	$0	09/10/2002	F - Formal Settlement
2.	01002	Other	3241 A	08/15/2002	09/17/2002	$200	$200	$0	09/10/2002	F - Formal Settlement
3.	02001	Other	4050 A	08/15/2002	09/07/2002	$1,000	$2,700	$0	09/10/2002	F - Formal Settlement
4.	03001	Other	3384 B	08/15/2002	09/07/2002	$1,000	$22,500	$0	09/10/2002	F - Formal Settlement
5.	04001	Serious	4002 A	08/15/2002	09/07/2002	$9,000	$22,500	$0	09/10/2002	F - Formal Settlement

Investigation Summary

Investigation Nr: 201484813

Event: 05/03/2002

Employee's arm injured afte being caught between rollers

On May 3, 2002, Employee #1 was trying to remove material from a machine when his arm was caught between the rollers. Employee #1 sustained skin tearing, wrist and tendon damage to his right arm and was hospitalized for 24 hours.

Keywords: TENDON, CAUGHT BY, JAMMED, LOCKOUT, ROLLER--MACH/PART, LACERATION, SKIN, ARM, WRIST

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	125753657			Hospitalized injury	Bruise/Contus/Abras	Rolling machine operators

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