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Inspection Detail
Inspection: 316206705 - Opti-Forms Inc
Inspection Information - Office: San Bernardino District Office
Site Address:
Opti-Forms Inc
42310 Winchester Rd
Temecula, CA 92590
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:3648
NAICS: 335129/Other Lighting Equipment Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 05/01/2012
Emphasis:
Case Closed: 06/20/2012
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102751385 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $310 | $0 | $310 |
| Current Penalty | $0 | $0 | $0 | $310 | $0 | $310 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | 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 | 05/01/2012 | 05/04/2012 | $310 | $310 | $0 | - |
Investigation Summary
At approximately 10:20 a.m. on February 29, 2012, Employee #1 was unpacking in the shipping and receiving area 2.5 liter bottles of reagent grade 98sulfuric acid, and transferring the bottles of the acid onto a delivery transport cart. The employee lost his grip on the 2.5 liter bottle that contained reagent grade 98sulfuric acid and dropped it. Employee #1 slipped and fell into the acid and broken glass. The employee sustained deep lacerations to his right wrist and 2nd and 3rd degree chemical acid burns to 20 percent of his body. Employee #1 was hospitalized in excess of 24 hours
Keywords: BURN, SLIP, INTERMODAL CONTAINER, LACERATION, FALL, SULFURIC ACID, WRIST
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 316206705 | Hospitalized injury | Burn(Chemical) | Metal plating machine operators |