Inspection Detail

Inspection: 301278834 - Blackhawk Furniture, Inc

Inspection Information - Office: High Hazard Unit - South

Inspection Nr: 301278834

Report ID: 0950662

Date Opened: 02/23/2004

Site Address:
Blackhawk Furniture, Inc
3016 Kansas Ave
Riverside, CA 92507

Mailing Address:
3016 Kansas Ave, Riverside, CA 92507

Union Status: NonUnion

SIC:2511

NAICS: 337122/Nonupholstered Wood Household Furniture Manufacturing

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 08/10/2004

Planning Guide: Health-Manufacturing

Emphasis: L:Regionp1, S:Targeted Compl & Consult

Case Closed: 02/05/2019

Related Activity
Type	Activity Nr	Safety	Health
Accident	101691962

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	10			7		17
Current Violations	10			7		17
Initial Penalty	$48,375	$0	$0	$1,530	$0	$49,905
Current Penalty	$48,375	$0	$0	$1,530	$0	$49,905
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	Latest Event
1.	01001	Other	23400016 A	08/05/2004	09/04/2004	$185	$185	$0	-
2.	01002	Other	25000025	08/05/2004	09/04/2004	$185	$185	$0	-
3.	01003	Other	3210 A	08/05/2004	09/04/2004	$185	$185	$0	-
4.	01004	Other	3212 A01	08/05/2004	09/04/2004	$185	$185	$0	-
5.	01005	Other	3301 A	08/05/2004	09/04/2004	$185	$185	$0	-
6.	01006	Other	5453 A	08/05/2004	09/04/2004	$420	$420	$0	-
7.	01007	Other	5446 H	08/05/2004	09/04/2004	$185	$185	$0	-
8.	02001	Serious	23400022 A	08/05/2004	08/12/2004	$3,375	$3,375	$0	-
9.	03001	Serious	3999 B	08/05/2004	08/12/2004	$3,375	$3,375	$0	-
10.	04001	Serious	4185	08/05/2004	08/12/2004	$3,375	$3,375	$0	-
11.	05001	Serious	4075 A	08/05/2004	08/12/2004	$18,000	$18,000	$0	-
12.	06001	Serious	4300 D	08/05/2004	08/12/2004	$3,375	$3,375	$0	-
13.	07001	Serious	4300 E	08/05/2004	08/12/2004	$3,375	$3,375	$0	-
14.	08001	Serious	4310 A01	08/05/2004	08/12/2004	$3,375	$3,375	$0	-
15.	09001	Serious	4312	08/05/2004	08/12/2004	$3,375	$3,375	$0	-
16.	10001	Serious	5185 L	08/05/2004	08/12/2004	$3,375	$3,375	$0	-
17.	11001	Serious	5453 E	08/05/2004	08/12/2004	$3,375	$3,375	$0	-

Investigation Summary

Investigation Nr: 201691359

Event: 02/16/2004

Employee's Finger Is Amputated in Chain and Sprocket

At approximately 2:00 p.m. on February 16, 2004, Employee #1 was working at the Blackhawk Furniture Company as a helper stacking and placing wood on the waste conveyor. A piece of wood got stuck in the waste conveyor's chain and sprocket. The employee tried to remove the piece of wood with his right hand while the chain and sprocket were still moving. The chain and sprocket were not guarded and Employee #1's right index finger was caught and amputated. Employee #1 was hospitalized.

Keywords: CHAIN, AMPUTATED, FINGER, CAUGHT BY, CONVEYOR, SPROCKET, UNGUARDED

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	301278834			Non Hospitalized injury	Amputation	Production helpers

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