Inspection Detail

Inspection: 300864360 - Skyline Homes Inc.

Inspection Information - Office: San Bernardino District Office

Inspection Nr: 300864360

Report ID: 0950633

Date Opened: 12/22/2003

Site Address:
Skyline Homes Inc.
920 W Mayberry Street
Hemet, CA 92543

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:3716

NAICS: 336213/Motor Home Manufacturing

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 04/06/2004

Emphasis:

Case Closed: 10/03/2006

Related Activity
Type	Activity Nr	Safety	Health
Accident	101153260

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				1		1
Current Violations				1		1
Initial Penalty	$0	$0	$0	$560	$0	$560
Current Penalty	$0	$0	$0	$300	$0	$300
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	Note
1.	01001	Other	4300 F	04/06/2004	04/09/2004	$300	$560	$0		I - Informal Settlement

Investigation Summary

Investigation Nr: 300864360

Event: 12/09/2003

Employee's Fingers Are Amputated by Table Saw

At approximately 3:30 p.m. on December 9, 2003, Employee #1 was working in the mill department of a recreational vehicle manufacturer. The mill department is where interior trim is fabricated. He was removing excess stock from a Rockwell table saw after trimming a cabinet door. The third and fourth fingers of his left hand contacted the guarded and rotating saw blade. He sustained amputation of the tip of these fingers, up to the first knuckle. The table saw involved in this accident was a Rockwell "Delta", Serial Number 1256781, equipped with a 12-inch blade.

Keywords: AMPUTATED, FINGER, STRUCK AGAINST, BLADE, TABLE SAW

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	300864360			Non Hospitalized injury	Amputation	Furniture and wood finishers

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