LENEXA, KS —
OSHA Inspection: J.C. PENNEY CATALOG LOGISTICS CENTER
Complaint inspection · Health discipline
At a glance
On , OSHA opened a complaint health inspection of J.C. PENNEY CATALOG LOGISTICS CENTER in 10500 LACKMAN RD., LENEXA, KS 66219 (NAICS 000000). OSHA activity number 106020654.
OSHA opens inspections for many reasons — routine scheduling under a national or local emphasis program, an employee complaint or referral, or a follow-up after a reported injury. Opening or conducting an inspection is not itself an allegation or a finding that this employer broke any rule; any findings appear as the citations listed below, and citations can be contested, reduced, or withdrawn.
Where did this inspection happen?
- Establishment
- J.C. PENNEY CATALOG LOGISTICS CENTER
- Site address
- 10500 LACKMAN RD.
- City
- LENEXA
- State
- KS
- ZIP
- 66219
What kind of inspection was it?
- Inspection type
- Complaint (B)
- Scope
- Partial (B)
- Discipline
- Health
- Advance notice
- No
- Union status
- N
When did the case open and close?
- Opened
- Closing conference
- Case closed
- Last modified
- Data loaded
Establishment context
- NAICS code
- 000000
- SIC code (legacy)
- 4225
- Employees
- 2180
- Ownership type
- A
Citations
16 citations on file for this inspection.
5(a)(1)
- Issued
- Jun 1, 1990
- Abate by
- Jun 10, 1991
- Penalty
- Initial $900 · Current $900
General-duty citation text
Section 5(a)(1) of the Occupational Safety and Health Act of 1970, the employer did not furnish employment and a place of employment which were free from recognized hazards that were causing or likely to cause death or serious physical harm to employess in that employer were exposed to injuries and illnesses resulting from the performance of lifting tasks: a) A-Receiving Department - Palletizer, Stockhandler: Employees (3) manually lifting boxes/packages of merchandise from the conveyor system to pallets on the palletizer system were exposed to biomechanical stressors. Note: The following abatement information applies to citation #1, item #1, instance (a). While ultimate responsibility for correcting the hazard rests with the employer, given his superior knowledge of the operation. Feasible and acceptable abatement methods to correct this hazard may include, but not necessarily be limited to: 1) Eliminate the 7-inch gap between the roller conveyor line and the pallet board. 2) Change from a gravity feed accumulation conveyor to a belt conveyor with an electric eye or other type of sensor which when there is no box present, the line will move. 3) Eliminate the raised roller lip on the end of the roller conveyor. Possibly make if flush with the conveyor to allow the worker to roll/ slide the boxes onto the pallet board. 4) Use a Vacu-hoist or other lifting aids to move heavy boxes to the pallet boards. 5) Train the workers to not lower the pallet all the way down the shaft so that the workers are not required to bend forward and down into the shaft to load the boxes. 6) Eliminate the twisting with a load while placing items onto the pallet board behind the workers. 7) Institute administrative controls such that the individual's pace requirement is reduced. b) Area 2 and Area 4 Department - Bin Replenishing Clerks: Employees (71) were observed manually lifting boxes/packages of merchandise from the floor to carts. The injury and illness records of the department for the past 36 months indicated an approximate incidence rate of 26.7 per 100 workers related to overexertion and lifting. The evaluation of the lifting tasks indicate that employees are exposed to a patternof similar conditions. Note: The following abatement informtion applies to citation #1 item #1, instance (b). While ultimate responsibility for correcting the hazard rests with the employer, given his superior knowledge of the operations, feasible and acceptable abatement methods to correct this hazard may include, but not necessarily be limited to: 1) Develop of a system that will indicate approximate weight of box that the employee can determine at a glance. 2) Eliminate overhead storage and overhead lifting by instructing employees to utilize central warehousing only beyond bin storage. 3) Utilize automatic leveling devices that will lift boxes to height that will be determined by a study that will minimize the distance of lifts or eliminate lifts altogether. 4) Keep heavy boxes off the floor. 5) Minimize the weight of boxes. c) Returns Department - Stockhandler employees (31) were observed manually lifting boxes/packages of merchanise from floor to carts and from carts to roller conveyors racks. The injury and illness records of the department for the past 36 months indicated an approximate incidence rate of 16.1 per 100 workers related to over exertion and lifting. The evaluation of the lifting tasks indicate that employees are exposed to a pattern of similar conditions. Notes: The following abatement information applies to Citation #1, Item #1 Instance (c). While ultimate responsibility for correcting the hazard rests with the employer, given his superior knowledge of the operation, feasible and acceptable abatement methods to correct this hazard may include, but not necessarily be limited to: 1) Install an automated system that will place boxes in reach of catalog processing clerks, eliminating lifting task of filled boxes and totes. 2) Utilize scissor lifts to minimize distance of lift and pulling of boxes in unnatural postures. 3) Modify racks to minimize lifting distance and pulling of boxes. 4) Minimize weight of boxes. d) Shipping Department - Shipping Checker employees (15) were observed manually lifting boxes/packages of merchandise from conveyor system to load truck trailer. The injury and illness records of the department for the past 36 months indicated an approximate incidence rate of 20 per 100 workers related to overexertion and lifting. The evaulation of the lifting tasks indicate that employees are exposed to a pattern of similar conditions. Note: The following abatement information applies to Citation #1, item #1, instance (d). While ultimate responsibility for correcting the hazard rests with the employer, given his superior knowledge of the operation, feasible and acceptable abatement methods to correct this hazard may include, but are not limited to: 1) Develop a system that will indicate approximate weight of box that the employee can determine at a glance. 2) Utilize mechanical equipment for packages that fall outside of recommended administrative and engineering control of NIOSH lifting guide. 3) Minimize the weight of boxes to below recommended weight according to NIOSH lifting guide. STEP 1- Effective administrative protection such as employee training, physical assessment, job rotation, etc., shall be provided as an interim protective measure until feasible engineering or administrative controls can be implemented or whenever such controls fail to reduce employee exposure. STEP 2- Submit to the Area Director a written, detailed plan of abatement outlining a schedule for the implementation of engineering or administrative measures to control employee injury due to manual-lifting tasks. Engineering controls to reduce musculoskeletal stress include, but are not limited to, job redesign, reduction of the horizontal and vertical load distance from the body, reduction of the lifting frequency, or weight, and use of mechanical-lifting aids. This plan shall include, at a minimum, target dates for the following actions which must be consistent with the dates required by this citation. 1) Evaluation of the conditions, locations, and manual-lifting activities that the employees are performing at the onset of musculoskeletal injuries. 2) Evaluation of applicable control measure(s). 3) procurement, installation and operation of selected control measures. 4) Monitoring to assure effective utilization of the control measure(s). STEP 3- Abatement shall have completed by implemenation of feasible engineering or administrative controls, upon verification of their effectiveness in reducing the occurrance of musculoskeletal injuries.
Recent events (3)
- — F (S) $900.00
- — I (S) $900.00
- — Z (S) $900.00
1910.134 E01
- Issued
- Jun 1, 1990
- Abate by
- Jul 6, 1996
- Penalty
- Initial $700
Recent events (3)
- — F (O)
- — I (S) $700.00
- — Z (S) $700.00
1910.134 B03
- Issued
- Jun 1, 1990
- Abate by
- Jul 6, 1996
Recent events (3)
- — F (O)
- — I (S)
- — Z (S)
1910.134 B05
- Issued
- Jun 1, 1990
- Abate by
- Jul 6, 1996
Recent events (3)
- — F (O)
- — I (S)
- — Z (S)
1910.134 B06
- Issued
- Jun 1, 1990
- Abate by
- Jul 6, 1996
Recent events (3)
- — F (O)
- — I (S)
- — Z (S)
1910.134 B10
- Issued
- Jun 1, 1990
- Abate by
- Jul 6, 1996
Recent events (3)
- — F (O)
- — I (S)
- — Z (S)
1910.147 C04 II
- Issued
- Jun 1, 1990
- Abate by
- Jun 4, 1990
- Penalty
- Initial $700 · Current $700
Recent events (3)
- — F (S) $700.00
- — I (S) $700.00
- — Z (S) $700.00
1910.147 C05 IIC2
- Issued
- Jun 1, 1990
- Abate by
- Jun 4, 1990
Recent events (3)
- — F (S)
- — I (S)
- — Z (S)
5(a)(1)
- Issued
- Jun 1, 1990
- Abate by
- Jul 6, 1996
- Penalty
- Initial $10,000 · Current $5,000 Reduced
General-duty citation text
7) Analyze light-duty jobs for CTD potenital. a) This written analysis shall include the procedures used in the performance of each job, including lifting requirements, postures, hand grips, and frequency of repetitive motion. Such analysis shall be reduced to written form and provided to nurses, doctors, and supervisory personnel involved in the assignment of light-duty jobs. b) When an employee in a job not previously evaluated reports a CTD to medical personnel, that employee's actual performance of the job shall be evaluated to determine if ergonomic risk factors exist and Section 5(a)(1) of the Occupational Safety and Health Act of 1970: The corrective action is necessary for the work station and work method. 8) Develop a policy to inform employees that they will not be discriminated against because they reasonably request and visit the medical facilities or because they have diagnosed CTD problems and are undergoing medical rehabilitation. *STEP 1 - First Quarter A) Submit to the Area Director a written compliance program and plan of action outlining a schedule for the implementation of this medical program to identify and control CTDs. Quarterly progress reports updating this program and plan will be employer did not furnish employment and a place of employment which were submitted to the Area Director until final abatment. B) Design the baseline symptoms survey and complete catolog of job activities. C) Assure employee protection against discrimination. *STEP 2 - Second Quarter A. Conduct a symptoms survey to identify CTD. B) Inititate quarterly records review to monitor CTD trends. C) Implement a medical management protocol. D. Implement medical supervisory and employee training. E) Initiate analysis of all light-duty jobs. free from recognized hazards that were causing or likely to cause death *STEP 3 - Third Quarter A) Initiate baseline health surveillance. B) Complete analysis of light-duty jobs. *STEP 4 - Fourth Quarter A) Corrective action shall be completed by the implementation of all phases of this medical program. or serious physical harm to employees in that employees were required to perform repetitive motions resulting in biomechanical stressors likely to cause cumulatibe trauma disorders: a) A-Receiving Department - sorters, stockhandlers (7) at Palletizer who repeatedly perform tasks which involve exposure to biomechanical stresses, such as, but not limited to: Wrist flexion, right wrist. Wrist extension with finger press, left wrist. Right shoulder flexion, 90 degress. Thigh compression. Palm compression, right hand. Left shoulder flexion, 90 degress. Wrist extension, right wrist. Trunk flexion, 30 degrees Note: The following abatement information applies to Citation #2, item #1, instance (a). While ultimate responsibility for correcting the hazard rests with the employer, given his superior knowledge of the operation, feasible and acceptable abatement methods to correct this hazard may include, but not necessarily be limited to: 1) Provide a horizontal push bar with handles to push boxes onto adjacent conveyor lines. This could be suspended from above and on track. 2) Relocate the depalletizer job in the central warehouse to the other side of the conveyor line at its current work station. This will eliminate the need for the stock handler to turn the boxes. 3) Provide toe room to allow the worker to get close to the conveyor line. 4) Provide padding on the edge of the conveyor line. b) Area 2 and Area 4 Departments - Order fillers (71) who repeatedly are exposed to stressors, such as but not necessarily limited to, Truck flexion, 20, 90 degrees. Truck flexion, 30 degrees with torso twisting. right shoulder extension. pinch grip, right hand. pinch grip, left hand. left shoulder flexion, 90 and 120 degrees. right shoulder abduction, 90 degrees. pinch grip with wrist extension, right wrist. Note: The following abatement inforamtion applikes to citation #2, item #1 instance (b). While ultimate responsibility for correcting the hazard rests with the employer, given his superior knowledge of the operation, feasible and acceptable abatement methods to correct this hazard may include, but not be limited to: 1) An automatic dispenser for the labels to automatically peel the backing from the label. This should be designed to give a preview of the next several labels. 2) A new lip design for the boxes, to minimize the potential of arm or wrist flexion when reaching into the boxes. Probably a v-cut or u-cut for the lip. Also make the lip height less. 3) Include a degree of difficulity into the time allowed or the number of units to retrieve, i.e., comforters are heavier and require two hands where a t-shirt may only require only one hand and is not as heavy. 4) Provide padded areas on the cart for pushing it. 5) Place to put the labels so they do not interfere with pushing the cart. 6) External trauma protection from the ladder rungs. Provide knee and possible shin guards. 7) Reduce the requirements such that the pace is reduced. c) Packing department - Packers (94) who repeatedly perform tasks which involve exposure to biomechanical stressors, such as, but not limited to: Left shoulder flexion, 45, 60, 90, 120 degrees. Right shoulder flexion, 45, 60, 90, degrees. Left shoulder abduction, 45, 90 degrees. Right shoulder abduction, 45, 60, 90 degrees. Trunk flexion, 20, 30, 45, 80, 90 degrees. Pinch grip, right hand. Pinch grip, left hand. Trunk flexion, 30 degrees with torso twist to the right. Torso twist to the left with a load. Pinch grip with ulnar deviation, left wrist. Pinch grip with wrist extension, right hand. Pinch grip with wrist extension, left hand. Wrist flexion and ulnar deviation, right wrist. Impact to the hand from the staple gun. Wrist extension, right hand. Wrist extension, left hand. Pinch grip with wrist flexion, right hand. Pinch grip with wrist flexion, left hand. Wrist flexion, right wrist. Wrist flexion, left wrist. Finger press, right hand. Finger press, left hand. Note: The following abatement information applies to citation #2, item #1 instance (c). While ultimate responsibility for correcting the hazard rests with the employer, given his superior knowledge of the operation, feasible and acceptable abatement methods to correct this hazard may include, but not necessarily be limited to: 1) Provide a hanger to hang the sacks to allow the packages to be dropped into the sack. An automatic stapler might be used in conjunction with the hanger. 2) Allow more table space to slide objects from the bins, to sort the packages, and to slide them to the sacking area to minimize the frequency of pinch grips. 3) Provide an area to slide rather than lift packages into the boxes. 4) Consider packing boxes a separate operation performed by the operators. 5) Change the bins so that the top bins can be emptied without reaching. 6) Provide a stapler (or stapler handle) to allow a neutral wrist position. 7) Reduce the requirements such that the pace is reduced. 8) Provide a multiple sack holder/openers at the work station to allow sliding of packages into different sizes of sacks. An automatic stapler might be used in conjunction with this arrangement. 9) Implement a job rotation program that will allow packers to perform jobs that will not include same stressors on four-hour schedule. d) Packing Department - Primary packers and other temporarily transferred individuals, who repeatedly perform tasks which involve exposure to biomechanical stressors, such as, but not limited to: Trunk flexion, 80 degrees. Compression in the pelvis area from the edge of the conveyor line. Left shoulder flexion, 90 degrees. Right shoulder flexion, 90, 100, 110, 120 degrees. Right shoulder abduction, 90 derees. Pinch grip, right hand. Pinch grip, left hand. Wrist extension, right wrist. Pinch grip and wrist flexion, right wrist. Right elbow flexion, 60 degrees. Note: The following abatement information applies to Citation #2, item #1, instance (d). While ultimate responsibility for correcting the hazard rests with the employer, given his superior knowledge of the operation, feasible and acceptable abatement methods to correct this hazard may include, but not necessarily be limited to: 1) Redesign the conveyor system so only sliding of the packages is involved. 2) Reduce the requirements such that the pace is reduced. e) Packing Department, Tower - Packer (4) who repeatedly perform tasks which involve exposure to biomechanical stressors, such as, but not limited to: Pinch grip, right hand Trunk flexion, 45 degrees, when reaching for packages whichdid not slide down to be horizontal work surface. Right shoulder flexion, 90 degrees, when reaching for packages which did not slide down to the horizontal work surface. Right forearm pronation to supination motion with a pinch grip, right hand, when turning over the packages so the labels face up. Pinch grip, right hand, when tossing with the right arm. Pinch grip with wrist extension, left hand, when tossing thepackage with the left arm. Note: The following abatement information applies to Citation #2, Item #1, Instance (e). While utlimate responsiblity for correcting the hazard rests with the employer, given his superior knowledge of the operation, feasible and acceptable abatement methods to correct this hazard may include, but not necessarily be limited to: 1) Train the workers to slide the packages onto the trays rather than pick up and toss onto the trays. If the surface will not allow this then a different surface that allows sliding should be investigated. If the physical arrangement does not allow this then it should be changed. 2) Allow the units to all slide to the workers' work area as they come out of the chute. Some packages get backed up, requiring the worker to reach forward to retrieve the packages. 3) Eliminate the need to turn the packages over so the labels are facing upright. Have the packages presented to the operator with the labels already facing up. Changes in primary packing and the conveyor system may facilitate this. f) Packing Department - Box making, packers and catalog processing clerk(s) (4) who repeatedly perform tasks which involve exposure to biomechanical stressors, such as, but not limited to: Pinch grip with ulnar deviation, right hand. Right shoulder flexion, 120 degrees. Left shoulder flexion, 120 degrees. Note: The following abatement information applies to Citation #2, item #1, instancef(f). Dip or drop the conveyor line in the box hanging area so the boxes can be slid onto the hanger or at least lifted only a resonable height. g) Packing Department - Box stripping, packers who repeatedly perform tasks which asks which involve exposure to biomechanical stressors, such as, but not limited to: Pinch grip, right hand, on the box knife and on the label. Wrist extension, right hand. Pinch grip, left hand. Right shoulder extension. Note: The following abatement information applies to Citation #2, Item #1, Instance (g). While ultimate responsiblity for correcting the hazard rests with the employer, given his superior knowledge of the operation, feasible and acceptable abatement methods to correct this hazard may include, but not necessarily be limited to: 1) Design a work station for the job. 2) Provide adequate seating for this opearation. 3) Provide a fixture to hold the box in place while working on the box. 4) Provide a tool to allow a power grip to be used and also a neutral wrist posture while using the tool. h) Returns Department - Heat sealing, Catalog, processing clerks who repeatedly perform tasks which involve exposure to biomechanical stressors, such as, but not limited to: Trunk flexion, 30 degrees, with torso twist to the right. Trunk flexion, 20 degrees, with a lean to the left. Pinch grip with wrist flexion, right wrist. Pinch grip with ulnar deviation and wrist flexion, right wrist. Left shoulder flexion, 45, 80, 90, 100 degrees. Pinch grip, left hand. Pinch grip with wrist extension, right hand. Pinch grip with ulnar deviation, right hand. Wrist extension, left wrist. Ulnar deviation and wrist flexion, left wrist. Right shoulder flexion, 45, 90 degrees. Pinch grip with ulnar deviation, left hand. Trunk flexion, 20, 60 degrees. Ulnar deviation, right wrist. Left shoulder abduction. Right shoulder abduction, 90 degrees. Torso twisting. Note: The following abatement inforamtion applies to citation #2, item #1, instance (h). While ultimate responsibility for correcting the hazard rests with the employer, given his superior knowledge of the operation, feasible and acceptable abatement methods to correct this hazard may include, but not necessarily be limited to: 1) Relocate the label printer to allow a more neutral shoulder posture when retrieving the label. 2) Provide a power-assisted feed of the plastic, possibly a force- sensing feed. 3) Provide a smaller sack for disposing the waste plastic, or more frequent emptying of the waste sack to prevent crowding of the work place. 4) Provided a dumping area for totes and boxes. The operators should then dump the items in a tote onto the surface and slide the packages instead of reaching and grasping the packages. 5) Suspend the scanner pen. 6) Train the operators in scanning techniques to reduce unneeded motion. 7) Put the boxes onto a conveyor line which then routes the boxes to a box cart or bin rather than throwing the boxes behind the workers. 8) Reduce the requirements such that the pace is reduced. ABATEMENT SCHEDULE *STEP #1: Effective administrative controls such as employee training, physical assessment, job rotation, etc., shall be provided as an interim protective measure until feasible engineering or permanent administrative control can be implemented which will reduce employee exposure to nominal risk. This way involve reduced line speed or piece rate to decrease the amount of repetitive motion work per employee. *STEP #2: Submit to the Area Director a written detailed plan of abatement outlining a schedule for the implementation of engineering and/or administrative measures to control employee exposures to cumulative trauma disorders referenced in this citation and to insure that cumulative trauma disorder problems are dealt with properly in the future. The plan shall include, at a minimum, target dates for the following actions which must be consistent with the abatement dates required by this citation: a) Development, testing and implementation of ergonomic methods to control employee exposure to cumulative trauma disorders in the jobs referenced in this citation. This will include: 1) Reduction of the line speed or piece rate to decrease the amount of repetitive motion per employee; 2) Evaluation of the extent and location of the hazard; 3) Evaluation of engineering/administrative control options; 4) Selection of optimum control method(s); 5) Testing and acceptance or modification/redesign of controls; 6) Finalization of control measure design; 7) Ordering and delivery of equipment and materials; 8) Installation of control measures; 9) Assurance of effective performance of control measures by monitoring the effects on cumulative trauma disorders on changed jobs. b) Implementation of a work place education and awareness program which should include the following elements: 1) Instruction of employees in proper job task method(s) and the importance of musculoskeletal health and prevention of illnesses and injuries. 2) Training of managers and engineers to understand the causes and means to prevent repetitive motion and stress illnesses. Specifically this should include: 1) The causes of the solution to cumulative trauma disorders. 2) Job(s) where the potential for repetitive motion injuries exist. 3) Ergonomic methods of task and work station design. 4) Proper operation and maintenance of newly implemented control measures; and, c) Implementation of a ergonomic surveillance, evaluation, and modification program which should include the following elements: 1) Develop a tracking program to identify jobs associated with cumulative trauma disorders to prevent successive or repeated repetitive motion injury on the same jobs. 2) Perform an ergonomic assessment and redesign of each operations identified in the tracking program to identify stressors which may be produced by the environment, tools, work station design or work methods and to provide solutions which will eliminate or significantly reduce the stresses. 3) Implementation of employee rotation program which assures all employees an equable task distribution. 4) Implementation of light-duty program. All proposed control measures shall be evaluated for each particular use by a technically-qualified ergonomist. Ninety (90) day progress reports are required during the abatement period. The 90-day requirement for the submission of progress reports may be shortened or lengthened by the Area Director depending on the specific circumstances. *STEP #3: Abatement shall have been completed by the implementation of feasible engineering and/or administrative controls upon verification of their effectiveness in achieving compliance. c) Employee #040 diagnosed February 12, 1990, with extensor tendinitis was given a physician restrictions on February 12, 1990, stating no grasping with hand and no lifting over 10 pounds and no pulling or pushing over 20 pounds was subsequently assigned to box stripping which required pinch gripping of box knife and lable. d) Employee #041 diagnosed feburary 4, 1989, with carpal tunnel syndrome (right wrist) was given a physician restriction on about December 4, 1989, stating no grasping with right hand, no flexion/extension of right wrist was subsequently assigned to box stripping requiring wrist extension of right wrist. e) Employee #042 diagnosed December 11, 1989, with probable carpal tunnel syndrome and tendisitis was given a physician restriction on October, 1989, stating no repeated grabbing or grasping with either hand and no lifting over 10 pounds and changed December, 1989, to no use of right hand was subsequently assigned to the tower, box stripping and filling requiring lifting over 10 pounds and gripping if merchandise and paper. f) Employee #038 diagnosed November 24, 1989, with probable early carpal tunnel was placed on physician restriction November 24, 1989, stating no grasping with right hand was subsequently assigned to box stripping requiring with right hand. g) Employee #030 diagnosed february 14, 1989, with bilateral carpal tunnel syndrome was given physician work restritictions on March 23, 1989, stating no use of right arm. The employee was subsequently assigned to A-Receiving checking boxes on conveyor, turning boxes to the correct position and stamping boxes. When necessary, boxes would need to be moved to another conveyor, requiring use of right hand. h) Employee #203 diagnosed December 4, 1989, with left upper mid-back strain was given physician restriction on Decmeber 4, 1989, stating no lifting over 10 pounds, no climbing, no pulling or pushing over 15 pounds, or use of left arm over shoulder or reaching was subsequently assigned to Packing primary requiring lifting over 10 pounds and left and right shoulder flexion. i) Employee #034 diagnosed february 13, 1990, with subacute lumbosacral strain was given a physician restriction on February 13, 1990, stating no lifting over 25 pounds; no bending over, no pulling over 40 pounds, no pushing 50 pounds, was subsequently assigned to Area 2 sorting returns requiring bending to obtain merchandise. j) Employee #049 diagnosed February, 1990, with carpal tunnel syndrome was given a physician restriction on February, 1990, stating no gripping or grasping with either hand and no lifting more than 10 pounds or pushing 20 pounds was subsequently assigned to box stripping and a packing station requiring lifting over 10 pounds and gripping of hands. While ultimate responsibility for correcting the hazard rests with the employer, given his superior knowledge of the operation, feasible and acceptable abatement methods to correct this hazard may include, but not necessarily be limited to: 1) Implement a comprehensive written compliance written compliance program including priorities for early detection, treatment, job reassignment, and follow-up of CDT. The program shall include provisions for prompt recognition and evaluation of employee symptoms scheduling procedures for employees to help them recover from CTD and surgery, and assurance of management's implementation of medical restrictions. This program shall be part of the overall written plan describing how and when each element will be accomplished. The overall plan shall be reviewed and updated quarterly to ensure goals are being met or to identify changes needed. 2) Implement a written program to identify employees developing CTD, and work methods and work stations causing CTD. a) Design a baseline symptoms survey to measure, on a plant-wide basis, the extent of employee awareness of their symptoms of work-related disorders. The results of which may be collected and processed by automated process. b) Conduct a plant-wide symptoms survey and repeat it annually to detect any significant change in the incidence, scope, and/or location of reported symptoms. This survey will also help to determine the effectiveness of the overall medical management program and employees job rotation program as related to ergonomics. c) Each quarter health care providers shall review medical facility sign-in logs, OSHA-200 forms, and individual employee medical records to monitor CTD trends in the plant. This analysis shall be completed in addition to the "symptoms survey" in order to monitor trebds continously and substantiate information obtained in the annual symptoms survey. d) Compile, and keep current, a written catalog of job activities for each work position. The activity performed at the work position should be described and stressors identified as they effect specific pars of the body such as physical stress, forces required to exert, posture (twisting, turning, lifting, bending, misalignment of body parts), work station hardware, repetitiveness of activity, lack of breaks, tool design, training, employee turn over. A current catalog is very necessary to establish any "light duty" work positions and have an effective job rotation program. 3) Implement a written medical management protocol for CTDs. All physicians and nurses shall be qualified and trained to use this protocol which will include the following: a) A standardize physical examination, medical history and recording form. The examination will at least include inspection, palpation and range of motion testing and various applicable maneuvers, i.e., Tinel's test, Phalen's test, and Finkelstein's test. b) Specific protocols for the treatment of employees with positive physical signs on examination as well as those with symptoms but no numbness or crepitus shall be referred to the company physician. In addition, employees with positive Tinel's, Phalen's, or Finkelstein's tests shall also be referred for physician evaluation. c) Schedule re-evaluation in no less than three days after initial report of condition. If the condition worsens further, medical management should not be undertaken without concurrent efforts to reduce the physical stresses of the job by such measures as job modification or work practice changes, administrative changes, etc., A follow-up evaluation shall be scheduled in no less than three days, whether the condition is worsened or unchanged. d) A protocol will be directed by a physician and followed by management which will alow sufficient time for the involved muscle/tendon/nerve group to heal. This shall include time off work, or transfer to another job which allows the affected muscle/tendon/nerve group to rest. When directed by a physician employees shall be given sufficient time for the involved muscle/tendon/nerve group to heal. This time shall include time off work, or transfer to another job which allows the affected muscle/tendon/nerve group to rest. Employee shall be evaluated by a physican to assess their capability to return to work. Upon returning to work, they shall, when directed by a physician, be permitted to recondition the injured muscle/ tendon/nerve group by gradual resumption of duties. This should occur in addition to any other prescribed treatements. 4) Develop and implement a training program for the medical staff to include a detailed review of the medical aspects of CTD, and how to medically evaluate, treat, complete forms and reports, and to properly follow up. The training shall include recognition of plant job specific risk factors such as posture, force, repetition, vibration, contact nerve pressure, and cold. The additive effect of risk factors for CTD will be discussed along with an awareness of eliminating those which would aggrevate the specific condition of an employee. Medical personnel, including consultant physicians, will be informed as necessary as to the availability of light-duty jobs appropriate for an employee with a specific conditon. 5) Develop and implement a training program for all supervisors and employees to enable them to recognize early symptoms, the need for proper care, and the need to ensure work activities are compatible with employees physical conditions. 6) Conduct baseline health surveillance. The purpose of baseline health surveillance is to establish a base against which changes in health status can be evaluated. Workers being assigned to positions invovling exposure of a particular body part to repeated biomechanical stress will receive baseline health surveillance. These positions will be identified from the data compiled in the catalogue of standard job description. The baseline health surveillance will include a medical and occupational history, and physical examination of the musculoskeletal and nervous systems as they relate to CTD. The examination should include, inspection, palpation, range of motion (active, passive and resisted) and other pertinent maneuvers of the upper extremities and back. Examples of the pertinent maneuvers for the hands and wrists include Tinel's test, Phalen's test and Finkelstein's test. Laboratory tests, x-rays and other diagnostic procedures are not a routine part of the baseline assessment.
Recent events (3)
- — F (W) $5000.00
- — I (W) $10000.00
- — Z (W) $10000.00
5(a)(1)
- Issued
- Jun 1, 1990
- Abate by
- Jun 10, 1991
- Penalty
- Initial $10,000 · Current $5,000 Reduced
Recent events (3)
- — F (W) $5000.00
- — I (W) $10000.00
- — Z (W) $10000.00
1910.20 E01 I
- Issued
- Jun 1, 1990
- Abate by
- Jul 16, 1990
- Penalty
- Initial $6,000 · Current $3,000 Reduced
Recent events (3)
- — F (W) $3000.00
- — I (W) $6000.00
- — Z (W) $6000.00
1910.20 E02 IIA
- Issued
- Jun 1, 1990
- Abate by
- Jul 16, 1990
Recent events (3)
- — F (W)
- — I (W)
- — Z (W)
1910.20 G01 I
- Issued
- Jun 1, 1990
- Abate by
- Jul 16, 1990
Recent events (3)
- — F (W)
- — I (W)
- — Z (W)
1910.20 G01 II
- Issued
- Jun 1, 1990
- Abate by
- Jul 16, 1990
Recent events (3)
- — F (W)
- — I (W)
- — Z (W)
1910.20 G01 III
- Issued
- Jun 1, 1990
- Abate by
- Jul 16, 1990
Recent events (3)
- — F (W)
- — I (W)
- — Z (W)
1910.20 G02
- Issued
- Jun 1, 1990
- Abate by
- Jul 16, 1990
Recent events (3)
- — F (W)
- — I (W)
- — Z (W)
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Source
This record is reproduced from the U.S. Department of Labor Open Data API (OSHA inspection dataset). The original IMIS detail view is available at OSHA's Establishment Search for activity number 106020654.
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