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Inspection Detail

Inspection: 307161497 - Paper Source Converting And Mfg

Inspection Information - Office: Long Beach District Office

 

Inspection Nr: 307161497
Report ID: 0950642
Date Opened: 06/14/2004

Site Address:
Paper Source Converting And Mfg
5333 S Downey Rd
Vernon, CA 90058

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:2676

NAICS: 322291/Sanitary Paper Product Manufacturing

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 11/12/2004

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 09/24/2008

Related Activity
Type Activity Nr Safety Health
Accident 362618761
Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 4 6 10
Current Violations 4 6 10
Initial Penalty $35,320 $0 $0 $2,670 $0 $37,990
Current Penalty $16,560 $0 $0 $550 $0 $17,110
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 3203 A 11/09/2004 11/30/2004 $100 $515 $0 I - Informal Settlement  
2. 01002 Other 23400016 A 11/09/2004 11/30/2004 $100 $410 $0 I - Informal Settlement  
3. 01003 Other 23400022 C 11/09/2004 11/30/2004 $100 $410 $0 I - Informal Settlement  
4. 01004 Other 25000008 A 11/09/2004 11/30/2004 $0 $410 $0 I - Informal Settlement  
5. 01005 Other 3225 A01 11/09/2004 11/30/2004 $100 $515 $0 I - Informal Settlement  
6. 01006 Other 3241 C 11/09/2004 11/30/2004 $150 $410 $0 I - Informal Settlement  
7. 02001 Serious 23400023 11/09/2004 11/22/2004 $1,800 $6,185 $0 12/21/2004 F - Formal Settlement  
8. 03001 Serious 4070 A 11/09/2004 11/22/2004 $180 $4,950 $0 I - Informal Settlement  
9. 04001 Serious 4075 A 10/09/2004 10/22/2004 $180 $6,185 $0 I - Informal Settlement  
10. 05001 Serious 3314 A 11/09/2004 11/22/2004 $14,400 $18,000 $0 12/21/2004 F - Formal Settlement  

Investigation Summary

Investigation Nr: 201058765
Event: 06/02/2004
Employee Amputates Finger in Napkin Folding Machine

At approximately 6:30 a.m. on June 2, 2004, an employee and a coworker were operating the napkin folding machine producing napkins. The employee, who is a mechanic, was clearing a paper jam in the machine between the vertical fingers and roller mechanisms at the far right track four of the machine. The employee's hand was caught in the roller mechanism. The employee sustained bone loss amputation to index and middle finger of right hand. The employee went to Western Hand Center and received surgery but was not hospitalized. The accident happened because the power source for napkin folding machine was not deenergized or disengaged nor were extension tools or other methods or means provided and used.

Keywords: AMPUTATED, FINGER, MACHINE OPERATOR, ROLLER--MACH/PART, CAUGHT BETWEEN

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 307161497 Non Hospitalized injury Amputation Helpers, mechanics and repairers
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