Inspection Detail

Inspection: 308557446 - Custom Converting Solutions, Inc.

Inspection Information - Office: Nc Department Of Labor - Winston-Salem

Inspection Nr: 308557446

Report ID: 0453720

Date Opened: 06/09/2005

Site Address:
Custom Converting Solutions, Inc.
1207 Boston Rd.
Greensboro, NC 27420

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:2297

NAICS: 313230/Nonwoven Fabric Mills

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 08/18/2005

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 09/13/2005

Related Activity
Type	Activity Nr	Safety	Health
Accident	100072669

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations	2					2
Initial Penalty	$2,850	$0	$0	$0	$0	$2,850
Current Penalty	$2,850	$0	$0	$0	$0	$2,850
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.	01001A	Serious	19100212 A01	08/23/2005	08/29/2005	$2,100	$2,100	$0	-
2.	01001B	Serious	19100212 A03 II	08/23/2005	08/29/2005	$0	$0	$0	-
3.	01001C	Serious	19100022 A01	08/23/2005	08/29/2005	$0	$0	$0	-
4.	01002	Serious	19100147 C01	08/24/2005	10/12/2005	$750	$750	$0	-

Investigation Summary

Investigation Nr: 200072411

Event: 06/08/2005

Employee Is Crushed and Killed by Unguarded Machine

On June 8, 2005, Employee #1 caught his head between the traveling platen and the press base of a machine and received a crushing injury. He was killed. The safety devices had been removed.

Keywords: HEAD, WORK RULES, CAUGHT BY, CRUSHED, POINT OF OPERATION, PRESS, UNGUARDED

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	308557446			Fatality	Fracture	Occupation not reported

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