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Occupational Safety and Health Administration OSHA

Inspection Detail

Case Status: OPEN

Note: The following inspection has not been indicated as closed. Please be aware that the information shown may change, e.g. violations may be added or deleted. For open cases, in which a citation has been issued, the citation information may not be available for 5 days following receipt by the employer for Federal inspections or for 30 days following receipt by the employer for State inspections.


Case Status: OPEN

Violation Summary
Serious Willful Repeat Other Unclass Total
Initial Violations 2 1 1 1 5
Current Violations 2 1 1 1 5
Initial Penalty $29,004 $145,027 $79,761 $0 $0 $253,792
Current Penalty $29,004 $145,027 $79,761 $0 $0 $253,792
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 II 05/12/2022 06/01/2022 $14,502 $14,502 $0 06/03/2022 C - Contested
  2. 01002 Serious 19100147 C07 I A 05/12/2022 06/01/2022 $14,502 $14,502 $0 06/03/2022 C - Contested
  3. 02001 Willful 19100147 D 05/12/2022 06/16/2022 $145,027 $145,027 $0 06/03/2022 C - Contested
  4. 03001 Repeat 19100147 C06 I 05/12/2022 06/01/2022 $79,761 $79,761 $0 06/03/2022 C - Contested
  5. 04001 Other 19100303 B01 I 05/12/2022 $0 $0 $0 06/03/2022 C - Contested

Accident Investigation Summary
Summary Nr: 144706.015 Event: 11/21/2021Employee Dies After Pinned Between Conveyor And Machine
On November 17, 2021, Employee #1 was attempting to troubleshoot and clear jamme d material on the trim press of Thermoforming Line #5. Employee #1 opened the si de access door to clear the jammed parts/plastic material underneath and within the trim press on Thermoforming Line #5. Employee #1 climbed onto the lift conve yor belt that was in the DOWN position, and reached up with one arm to attempt t o clear the jammed materials within the frame of the upper die of the trim press and frame. The portion of the lift conveyor belt that moves up and down unexpec tedly started to move up towards the bottom of the trim press to the home positi on as Employee #1 was attempting to clear the jam. As a result, Employee #1 was crushed between the machine frame of the bottom of the trim press and the moving lift conveyor belt portion at an angle at approximately chest/neck/head height. Employee #1 was pinned in this position for approximately 18 minutes until the fire department and employees were able to free him from the machine. Employee # 1 was in cardiac arrest, and CPR and chest compressions were started immediately on Employee #1 by paramedics on-scene as soon as Employee #1 was unpinned from the machine. Employee #1 was then transported to the emergency room and was admi tted into the intensive care unit. Employee #1 was unresponsive to medical treat ment for many days and was removed from life support and pronounced dead on Nove mber 21, 2021. Employee #1 was unconscious for 18 minutes with subsequent cardia c arrest; revived and intubated per acute respiratory arrest; hypoxic ischemic i njury to the brain due to lack of oxygen and blood to the brain; bilateral lower lobe pneumonia; aspiration; pneumomediastinum; subcutaneous emphysema in neck.
Keywords: brain, cardiac arrest, chest, conveyor belt, cpr, crushed, head, neck, pinned, pneumonia, respiratory, unconsciousness, unresponsive
Inspection Degree Nature Occupation
1 1565319.015 Fatality Supervisors, production occupations

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