United States of
America
OCCUPATIONAL SAFETY AND HEALTH
REVIEW COMMISSION
1924
Building - Room 2R90, 100 Alabama Street, S.W.
Atlanta,
Georgia 30303-3104
Secretary of Labor, |
|
Complainant |
|
v. |
OSHRC
Docket No.: 17-0556 |
Nissan North
American, Inc., |
|
Respondent. |
|
Attorneys
and Law Firms:
Jean C. Abreu, Esq., U.S. Department of Labor, Office of the
Solicitor, Atlanta,
Georgia, for Complainant
Dana Rust, Esq. and Katherine Knight, Esq., McGuire Woods, for
Respondent
JUDGE: Administrative Law Judge Heather A.
Joys
DECISION AND ORDER
On July 31, 2016, a contract employee of
Nissan North America, Inc., (Nissan) was replacing a motor on a robot on the
first floor of the company’s Canton, Mississippi, facility. While he did so, three Nissan maintenance technicians
were performing a preventive maintenance inspection on a conveyor on the upper
level of the facility. When the contract
employee completed his task, he restarted the conveyor from the master control
panel. The conveyor began to move. At that same moment, one of the technicians had
placed his hand on one of the conveyor’s belts.
His hand was pulled into the conveyor, amputating three fingers.
Nissan timely reported the injury to
the Jackson, Mississippi, Area Office of the Occupational Safety and Health
Administration (OSHA). Compliance Safety
and Health Officer (CSHO) James Oglesby of that office performed an inspection
of the Nissan Canton facility beginning on December 2, 2016.[1] Based upon his inspection, CSHO Oglesby
recommended Nissan be issued a two-item serious citation alleging failure to
notify the Nissan maintenance technicians of the restart of the conveyor and
failure to properly train them on lockout procedures for the conveyor. The Secretary proposes a total penalty of $
21,140.00 for the Citation. Nissan
timely contested the Citation bringing the matter before the Occupational
Safety and Health Review Commission pursuant to § 10(c) of the Occupational
Safety and Health Act of 1970, 29 U.S.C. § 651-678 (the Act).
I held a hearing in this
matter on March 21, 2018, in Jackson, Mississippi. The parties filed
post-hearing briefs on May 17, 2018.[2]
For the reasons discussed below, Item
1, Citation 1, is VACATED; Item 2,
Citation 1, is AFFIRMED, and a
penalty of $12,675.00 is assessed.
JURISDICTION
At the hearing, the parties
stipulated jurisdiction of this action is conferred upon the Commission
pursuant to § 10(c) of the Act. The
parties also stipulated at the hearing that at all times
relevant to this action, Nissan was an employer engaged in a business affecting
interstate commerce within the meaning of § 3(5) of the Act (Tr. 8). Based on the parties’ stipulations and the
facts presented, I find Nissan is an employer covered under the Act and the
Commission has jurisdiction over this proceeding.
BACKGROUND
Nissan is an auto maker with a large
facility in Canton, Mississippi. At that
facility, the company employees over 6,000 individuals. Thousands of pieces of equipment are used
throughout the facility in the manufacturing process. The equipment at issue is a conveyor. The conveyor is used to transfer auto bodies
from one manufacturing process to another.
A portion of the conveyor is located
above the main floor of the facility on the mezzanine level and is designated
CP-M7.[3] No production occurs on the mezzanine level;
it serves only as a transfer point from one of the main level production
processes to another (Tr. 157; 218). The
conveyor is electrically powered. Rather
than moving continuously once energized, the conveyor moves via an automated
process. As an auto body moves along the
conveyor, it passes by “proximity switches.”
As the auto body passes the proximity switch, the switch is activated,
sending a signal to the conveyor to move the auto body to the next area (Tr.
157). Brian Schuetzle,
the maintenance manager for the Nissan Canton facility, described the process
as follows:
The conveyor is dormant. As a unit moves into position, we block a
proximity switch. When the proximity
switch is blocked, the code, the program looks ahead. As it looks ahead, if the proximity switch
ahead is not blocked or been set memory, then it knows that it’s okay to
advance that pallet unit to the next stage.
Then it comes on.
(Tr.
217).
Nissan employs its own maintenance
technicians to perform service and maintenance on the equipment at the Canton
facility, including the conveyor (Tr. 158).
It also uses contract mechanics to work on mechanical systems (Tr.
158-59). Nissan trains its maintenance
technicians. That training includes
orientation training performed on the employee’s start date followed by a
14-week hands-on training program at Nissan’s training facility. After technicians have completed the 14-week
training, they receive on-the-job training on each assigned task for several
weeks. Included in the orientation
training is a video providing an overview of lockout procedures (Exh. C-10 and C-11).
The 14-week training and the on-the-job training all include lockout
training. Nissan provides locks to
technicians prior to their being assigned to work at the Canton facility. Contract mechanics generally have more
experience than Nissan’s technicians (Tr. 158). It is not clear on this record what, if any,
training Nissan provides to the contract mechanics.
At the time of the accident, Robert Looney
was a maintenance supervisor at the Nissan Canton facility (Tr. 144). He supervised a crew of 20 Nissan technicians
and contract mechanics. His crew was
approximately equally divided between the two types of workers (Tr. 158).
At the start of the shift on July
31, 2016, Supervisor Looney distributed written work orders to his crew (Tr.
144). He assigned three Nissan
maintenance technicians – Technician 1, Technician 2, and the injured employee[4] - to perform a preventive
maintenance inspection of the CP-M7 located on the mezzanine level. Technician 1 was more experienced and had,
Supervisor Looney believed, performed the assigned preventive maintenance
inspection previously (Tr. 151).
Technician 2 and the injured employee were less experienced, having
started with Nissan in January of 2016.[5] Supervisor Looney provided little instruction
regarding the preventive maintenance inspection other than a general admonition
to be safe (Tr. 101, 119, 250). The
injured employee asked Technician 1 whether he knew how to perform the assigned
inspection, to which Technician 1 replied, “No.” (Tr. 120)[6] The injured employee then asked Technician 2
whether he knew what to do. Technician 2
told the injured employee he had done a similar inspection and would show him
what the assignment involved (Tr. 120).[7]
The three technicians proceeded to the
mezzanine level where Technician 2 began to show the injured employee how he
had performed the assignment in the past by checking the “looseness of the belt
and the conveyor, and mak[ing]
sure the prox[imity]
switches were working.” (Tr. 120) They checked the
functioning of the proximity switches by “flagging” them or placing a
flashlight in front of each switch (Tr. 123).
As they did so, a light on the back of the switch turned on, indicating
it was working (Tr. 141). Because the
conveyor was powered down, activating the switch did not cause the conveyor to
move (Tr. 140-41). The switch locked in
a “memory bit” that it had been flagged (Tr. 140). In addition to checking the functioning of
the proximity switches, the injured employee and Technician 2 checked the belts
that operated the conveyor (Tr. 103).
Both technicians did so by pulling on the belt with their hands and
visually checking its teeth (Tr. 103, 137).
At the same time, a contract mechanic was
replacing the motor to a robot on the first level of the facility. To do so, the mechanic had shut down and
locked out some portion of the conveyor (Tr. 161).[8] He was unaware employees were working on the
mezzanine. None of the employees working
on the robot were part of Supervisor Looney’s crew (Tr. 154). Upon completion of his work, the mechanic
went to the main control panel and restored power at the master start switch to
advance the unit on which he had been working (Tr. 161; Exh.
C-12). A buzzer sounded when power was
restored to the conveyor. Neither the
injured employee nor Technician 2 heard it or understood it signaled startup of
the conveyor on which they were working (Tr. 106, 124; Exh.
C-6). Because Supervisor Looney’s crew
had flagged the proximity switches, the restoration of power at the master
start switch caused the conveyor to move.
At the moment the conveyor began to move, the
injured employee had his hand on a belt.
His hand was pulled into the conveyor, amputating three fingers (Exhs. C-1; C-12; Tr. 138).
As a result of
the amputation, the injured employee was unable to work for two months (Tr.
138). Upon his return, Nissan issued the
injured employee a verbal disciplinary notice for not following work procedures
(Tr. 196; Exh. R-2).
No one else was disciplined for their actions surrounding the accident.
Nissan timely notified the Secretary about
the amputation. CSHO Oglesby of the
Jackson, Mississippi, Area Office conducted an investigation
into the accident beginning on December 2, 2016. CSHO Oglesby determined Nissan had provided
no warning to employees working on the mezzanine level of the startup of the
conveyor. He also concluded neither
Technician 2 nor the injured employee had been trained on lockout of the
conveyor. On the basis
of these findings, CSHO Oglesby recommended two serious citations be
issued to Nissan. Nissan timely
contested both citations and the proposed penalties, bringing the matter before
the Commission.
DISCUSSION
The Secretary has the burden of
establishing the employer violated the cited standard. To prove a violation of an OSHA standard, the
Secretary must show by a preponderance of the evidence that (1) the cited
standard applies; (2) the employer failed to comply with the terms of the cited
standard; (3) employees had access to the violative condition; and (4) the
cited employer either knew or could have known with the exercise of reasonable
diligence of the violative condition. JPC Group, Inc., 22 BNA OSHC 1859, 1861
(No. 05-1907, 2009).
Item
1, Citation 1: Alleged Violation of 29
C.F.R. § 1910.147(c)(9)
Item 1, Citation 1, alleges a violation
of the standard at 29 C.F.R. § 1910.147(c)(9) which states,
Notification of employees. Affected employees shall be notified by the employer or
authorized employee of the application and removal of lockout devices or tagout
devices. Notification shall be given before the controls are applied, and after
they are removed from the machine or equipment.
As amended[9], Item 1, Citation 1,
reads:
29 CFR §
1910.147(c)(9): Affected employees were
not notified before and after lockout and/or tagout devices were applied.
b. Body Shop Conveyors – On or about July 31,
2016, affected employees were exposed to amputation hazards when adequate
notice was not provided before and after lockout/tagout devices were applied.
The Secretary
contends Nissan failed to notify the technicians working on the mezzanine of
the removal of the lockout devices and reenergization of the conveyor,
resulting in its unexpected startup.
Applicability of § 1910.147(c)(9)
The cited standard falls under the
regulation addressing control of hazardous energy or the lockout/tagout
standard. The lockout/tagout standard “covers the servicing and maintenance of
machines and equipment in which the unexpected energization or startup of the
machines or equipment, or release of stored energy, could harm employees.” 29 C.F.R. § 1910.147(a)(1)(i). The standard
defines “serving and maintenance” as
Workplace activities such as constructing, installing,
setting up, adjusting, inspecting, modifying, and maintaining and/or servicing
machines or equipment. These activities include lubrication, cleaning or
unjamming of machines or equipment and making adjustments
or tool changes, where the employee may be exposed to the unexpected energization
or startup of the equipment or release of hazardous energy.
29
C.F.R. § 1910.147(b). The Secretary’s
burden to establish applicability of the standard is twofold. The Secretary must establish the activities
performed by the employees fell within the category of activities recognized as
servicing or maintenance. The Secretary
must also show that activity exposed those employees to the hazard of
unexpected energization or startup of the equipment.
There is no dispute the technicians and
contract mechanics work duties involve performing servicing and maintenance
work on the equipment at the Nissan Canton facility that, under certain
circumstances, expose them to the unexpected energization or startup of
equipment. The technicians were
performing a preventive maintenance inspection.
The contract mechanic was replacing a motor on a robot. As evidenced by the accident, the technicians
were actually exposed to the unexpected startup of the
conveyor by the contract mechanic. Nissan
does not dispute the contract mechanic was performing work that required
lockout. The standard applies to the work
being performed on the day of the accident.
With
regard to applicability of §
1910.147(c)(9), the inquiry does not end there.
The Secretary must also establish the technicians were
affected employees, triggering Nissan’s notification obligation under the cited
standard. The standard defines an affected
employee as
An
employee whose job requires him/her to operate or use a machine or equipment on
which servicing or maintenance is being performed
under lockout or tagout, or whose job requires him/her to work in an area in
which such servicing or maintenance is being performed.
29 C.F.R. §
1910.147(b). In the preamble to the
final rule, the Secretary further clarified,
If any employee
must utilize the energy control procedure, that employee is
considered to be an “authorized employee.” By contrast, an “affected employee” is one
who does not perform the servicing or implement the energy control procedure,
but whose responsibilities are performed in an area in which the energy control
procedure is implemented and servicing operations are
performed under that procedure.
Control
of Hazardous Energy Sources, 54 FR 36644-01 (September 1, 1989)
at p. 36665. The Secretary contends the
technicians inspecting CP-M7 were affected employees because the conveyor had
been locked out as part of the maintenance being performed by the contract
mechanic. Nissan contends the injured
employee[10]
was not an affected employee because his job did not require him to operate or
use the equipment being serviced, nor was he in an area in which servicing or
maintenance was being performed.
In
his brief, the Secretary notes the status of the technicians as either
authorized or affected employees may be confused (Secretary’s brief at p. 9, n.
4). Unfortunately, the record as a whole provides too few facts upon which to resolve that
confusion. The conveyor is used to transport
auto bodies along the stages of production. The mezzanine level containing CP-M7 is a
transfer point along the production line (Tr. 218). No production takes place on the mezzanine
level (Tr. 218). The process of moving
the auto bodies is automated. The technicians were not employees whose “job[s] require[] him/her to operate or use” the conveyor they were
inspecting.
Nor does the record
establish the technicians were working in an area in which lockout had been
implemented and servicing or maintenance was being performed. The Secretary specifically refers to the
servicing work being performed by the contract mechanic. Although he was performing servicing work,
the contract mechanic was not working on the conveyor or in the area in which
the technicians were working. Several
witnesses consistently testified the contract mechanic was repairing one of
seven robots in “body main respot.” (Tr. 161; 210; 231) This area is on the main level of the
facility. The record contains no
explanation of what production work is performed by these robots in this area[11] or, importantly, the relationship of the robot to
the conveyor.
The Secretary did not
argue, and the record does not establish, the conveyor system is a single
machine such that lockout of the entire conveyor was necessary to work on any
part of it. See Secretary v. Action
Electric Company, 868 F.3d 1324, 1330
(11th Cir. 2017). The area in
which the contract mechanic was working was described as a transfer point along
the conveyor to CP-M7 (Tr. 211). The
conveyor system has a main power disconnect that shuts down power to the entire
conveyor system (Exh. R-1). Sections or stages of the conveyor can be
separately locked out (Tr. 202; 206; 223-24; Exh.
R-1). On the day of the accident, the conveyor
had been shut down at the main power disconnect (Tr. 199; 206; 231-32). CP-M7 was deenergized as a result. What is
not established on this record is whether the contract mechanic had locked out
the conveyor at the main power disconnect or only on the stage at which he was
working. To perform his work on the
robot, the contract mechanic could have, and may have, locked out at the local
disconnect (Tr. 224). The Secretary
failed to establish CP-M7 had been locked out, only that it had been
deenergized. The requirement to notify
affected employees of the removal of lockout does not apply under the
circumstances.[12]
Because the record
fails to establish applicability of the cited standard, Item 1, Citation 1, is VACATED.
Item
2, Citation 1: Alleged Violation of § 29
C.F.R. § 1910.147(c)(7)(i)
Item 2, Citation 1, alleges a violation of
the standard at 29 C.F.R. § 1910.147(c)(7)(i). Section 1910.147(c)(7) covers training
requirements that are to be included in an employer’s energy control
program. The cited subpart of §
1910.147(c)(7) states,
The employer shall provide training to ensure that the
purpose and function of the energy control program are understood by employees
and that the knowledge and skills required for the safe application, usage, and
removal of the energy controls are acquired by employees.
Item 2, Citation
1, alleges a violation of that standard as follows:
Body Shop CP-M7
Overhead conveyor – On or about July 31, 2016, two maintenance technicians
tasked to perform a PM on the CP-M7 overhead conveyor were not adequately
trained on the specific lockout/tagout procedures for the conveyor system.
The Secretary
contends Nissan failed to train the two technicians working on the mezzanine on
the procedures for locking out CP-M7.
Applicability of § 1910.147(c)(7)(i)
As previously noted, there is little
dispute, Nissan technicians perform work that is covered by the lockout
standard. The Secretary contends the
technicians were performing servicing and maintenance work on the day of the
accident, as that term is defined in the standard. In its brief, Nissan did not argue
inapplicability of the standard.
Inspection of equipment is
specifically included in the definition of servicing and maintenance found at §
1910.147(b). The Commission has held
where an employee is “inspecting equipment when it is stationary, the standard
requires deenergization and application of lockout
procedures.” General Motors Corp., 22 BNA OSHC 1019, 1041 (Nos. 91-2834 and
91-2950, 2007). The inspection being
conducted by the technicians was done while the conveyor was stationary and met
the first part of the definition of servicing and maintenance.
Addressing the applicability of the
training requirements of the lockout standard in General Motors, the Commission held,
Where an
employee’s job assignment includes equipment servicing or maintenance, and it
is reasonably predictable that the employee will encounter the hazard of
unexpected energization while performing such work…the requirements of the
lockout standard apply and training is required.
22 BNA OSHC at 1030. For the reasons that
follow, the evidence establishes that exposure was reasonably predictable and
training the technicians was required.
To establish exposure was reasonably
predictable the Secretary must
“show that it is reasonably predictable either by operational necessity or
otherwise (including inadvertence), that employees have been, are, or will be
in the zone of danger.” Delek Ref., Ltd., 25 BNA OSHC 1365, 1376 (No.
08-1386, 2015) (citing id.) vacated in part on other grounds, 845
F.3d 170 (5th Cir. 2016); see
also Rockwell Intl. Corp., 9 BNA OSHC 1092 (No. 12470, 1980); Gilles & Cotting,
3 BNA OSHC 2002 (No. 504, 1976). The
zone of danger is the “area surrounding the violative condition that presents
the danger to employees.” Boh Bros. Constr.
Co., LLC, 24 BNA OSHC 1067, 1085 (No. 09-1072, 2013) (citing RGM Constr. Co., 17 BNA OSHC 1229, 1234 (No. 91-2107,
1995)). The technicians’ assignment took
them to the mezzanine level that contained CP-M7. The assignment sheet lists as tasks to be
performed, among others, to “clean and inspect the condition of proximity
switches;” ensure the proper alignment of “all fasteners and mounting bolts;”
and to visually inspect all exposed cable and connectors and “make sure all
connections are seated properly and locked in place if applicable.” (Exh. R-5).
Supervisor Looney provided no guidance to the technicians as to how they
were to perform the tasks listed. Nor
was the assignment sheet clear as to the requirements of the job.[13] As the photographs of the area show, cleaning
the proximity switches would have placed the technicians in proximity to the exposed
belts[14]
of the conveyor or in the zone of danger (see
Exhs. C-3 and C-4); Tr. 121-22).[15]
In
addressing employee exposure, Nissan focuses on the circumstances leading to
the injury. This focus is
misplaced. It
is well recognized the Act is “designed to encourage abatement of hazardous
conditions themselves, [] rather than to fix blame after the fact for a
particular injury[.]” Chaplin Petroleum Co. v. OSHRC, 593 F.2d 637, 642 (5th Cir,
1979). Whether the technicians were
required to touch the belts of the conveyor is not dispositive of the issue of
access to the zone of danger. The
standard is intended to protect employees from exposure to a hazard as the
result of intentional conduct or inadvertence.
The work assignment placed the technicians on the mezzanine, near the
belts of the conveyor. The record
establishes the technicians had access to the hazardous condition
notwithstanding the specific conduct that resulted in the injury.
The
contract mechanic was unaware employees were assigned to work on the mezzanine
level when he restarted the conveyor. The
technicians were unaware the conveyor had been restarted. The technicians were exposed to unexpected startup of the conveyor. The standard applies to the
work performed by the Nissan technicians.
Violation of § 1910.147(c)(7)(i)
The cited standard sets out the
employer’s obligation for initial training about its lockout program and
procedures. The standard was written as
a performance-oriented standard “in order to deal with
the wide range of workplaces covered by the standard.” 54 FR at 36673. Employers may “use whatever method he/she
feels will best accomplish the objectives of the training.” 54 FR at 36674. It sets out different training obligations for
the different classes of workers covered under the standard.[16]
The plain meaning of the terms of
the cited standard provide guidance as to the objective of initial
training. Employees must receive
training sufficient to ensure they “acquire” the “skills” necessary for safe
application, usage, and removal of energy controls. To acquire means to “get as one’s own” or “to
come to have as a new or added characteristic, trait, or ability.” Merriam
Webster Dictionary (2018). A skill
is the “ability to use one’s knowledge effectively and readily in execution or
performance.” Id. Initial training under
the standard must give employees the ability to effectively and readily perform
lockout procedures applicable to their assignments. This would include knowing when lockout is
required and how to implement it.
The Secretary contends the technicians
were inadequately trained on Nissan’s lockout program and procedures as they
specifically relate to CP-M7. Nissan
contends it provided sufficient initial training under the standard by
providing an introductory video that covered all of
the elements enumerated in the standard.
Even if that video was insufficient, Nissan argues it provided
additional training including 14-weeks of training at its training center and
six shifts of on-the-job training shadowing an experienced technician.
It is undisputed the technicians
watched the video on Nissan’s lockout program contained in Exhibit C-10. The video, which is approximately 10 minutes long,
is an overview of the concepts of energy isolation and lockout. The
video is too general to satisfy the requirements of the standard. It lists the six steps Nissan requires
for proper lockout, but does not relate those to any particular equipment It shows
the process of attaching locks to disconnects and to doors to caged areas, but
does not identify any of the equipment.
It provides a list of possible energy sources, but
does not identify to what equipment in the Canton facility those energy sources
may apply. It explains Nissan uses
placards containing disconnect procedures (See,
e.g., Exh. R-1), but
does not explain how to read these placards.
The video does not contain
sufficient information to ensure the technicians had “the skills required” to
utilize Nissan’s energy control procedures at the Canton facility.[17]
Nissan’s
training does not end with the video. The
record establishes during the 14-week off-site training, Nissan provided
technicians with the opportunity to learn to how to apply locks using mock-ups
of the robotic cells and other “trainer boards.” (Tr. 111-12,127, 215). Technicians worked for six shifts with a more
experienced technician to learn various assignments (Tr. 100, 149).[18] It is not clear how, or whether, Nissan
determined its employees understood or had acquired “the knowledge and skills
required for the safe application, usage, and removal of the energy controls” once
this training was complete.[19]
In contrast
to the evidence describing Nissan’s training procedures, the Secretary
presented unrebutted evidence Nissan did not train the technicians inspecting CP-M7
on July 31, 2016, when, or how, to lockout CP-M7 (Tr. 118, 134, 161). There is no evidence the technicians were
told under what circumstances lockout of CP-M7 was required. [20] The
technicians could have locked out CP-M7 at the main disconnect or locally on
the mezzanine level (Tr. 201).
Technician 2 and the injured employee were not aware of this. Manager Looney conceded he had not provided
this information to either (Tr. 149; 153).
Technician 2 and the injured employee did not know that upon restart of
CP-M7 a buzzer would sound (Tr. 106).
The injured employee was unaware of the consequence of flagging the
proximity switches (Tr. 136). Both knew
in general how to lockout an electric motor. Neither knew how to lockout CP-M7’s motor.
Nissan
contends it would have provided training on lockout of CP-M7 to the technicians
had their work required it. The record
does not support this contention. Safety
Director Viswanathan, testified that to ensure employees acquire the skills
necessary to perform lockout, Nissan’s Safety
and Heath Directive of February 25, 2013, requires machine-specific
training be done by supervisors in a hands-on manner (Tr. 173, 186; Exh. C-7). Nissan
did so because “there’s lots of pieces of equipment, and you have to lock out
differently for different equipment. So it’s all decided based on the job duties of the
employee.” (Tr. 189). Safety Director Viswananthan
admitted he did not monitor whether supervisors were performing this training
(Tr. 174). Supervisor Looney was
unaware of this obligation. He testified
he was not required to provide any training on lockout to the technicians (Tr.
149). When assigning a project that
required lockout, he testified he did not go over lockout with the employee in
advance (Tr. 161). There is no evidence Nissan’s training program included
machine-specific lockout training in practice.
The
standard requires initial training be sufficient for employees to acquire the
skills necessary to perform safe lockout.
For the technicians working on CP-M7, Nissan’s training did not meet
this standard.
Employee
Exposure
The
evidence establishes the technicians were actually exposed
to the hazard of unexpected startup of the conveyor. Even if the injured employee had never placed
his hand on the belt, he and Technician 2 were exposed to that hazard.
Employees
may come within the zone of danger “while in the course of
assigned working duties, personal comfort activities while on the job or their
normal means of ingress-egress to their assigned workplaces.” Gilles
& Cotting, Inc., 3 BNA OSHC
2002, 2003 (No. 504, 1976); Donovan
v. Adams Steel Erection, Inc.,766
F.2d 804, 812 (3d Cir. 1985) (“‘access,’ not exposure to danger is the proper
test”). The Secretary need not show it was certain that employees would be in
the zone of danger, but he must show that exposure was more than theoretically
possible. Fabricated Metal Prods., Inc. 18 BNA
OSHC 1072, 1074 (No. 93-1853, 1997); Phoenix
Roofing, 17 BNA
OSHC at 1079; Kaspar
Wire Works, Inc., 18 BNA
OSHC 2178, 2195 (No. 90-2775, 2000) (finding
that it was “‘reasonably predictable’ that an employee would come into contact
with the unguarded belt and pulley either while attempting to reposition the
fan, or inadvertently while passing nearby”), aff'd, 268 F.3d 1123
(D.C. Cir. 2001).
Calpine Corp., 27 BNA
OSHC 1014, 1016 (No. 11-1734, 2018). The
technicians were on the mezzanine working in proximity to the conveyor’s moving
parts. As previously discussed, taking
into consideration the assigned work task, the technicians would have been in
the zone of danger.
Employer
Knowledge
To establish employer
knowledge of a violation the Secretary must show the employer knew or with the
exercise of reasonable diligence could have known of a hazardous condition. Dun
Par Engineered Form Co., 12 BNA OSHC 1962, 1965-66 (No. 82-928, 1986). Because corporate employers can only obtain
knowledge through their agents, the actions and knowledge of supervisory
personnel are generally imputed to their employers, and the Secretary can make a prima facie showing of knowledge by proving a supervisory
employee knew of or was responsible for the violation. Todd Shipyards Corp., 11 BNA OSHC
2177, 2179 (No. 77-1598, 1984); see also Dun Par Engineered Form Co., 12
BNA OSHC 1962 (No. 82-928, 1986) (the actual or constructive knowledge of an
employer’s foreman can be imputed to the employer); see also W.G. Yates & Sons v. OSHRC, 459 F.3d 604, 607 (5th
Cir. 2006). Constructive knowledge is
shown where the Secretary establishes the employer could have known of the
cited condition with the exercise of reasonable diligence. Par
Electrical Contractors, Inc., 20 BNA OSHC 1624, 1627 (No. 99-1520).
Whether an
employer was reasonably diligent involves a consideration of several factors,
including the employer’s obligation to have adequate work rules and training
programs, to adequately supervise employees, to anticipate hazards to which
employees may be exposed, and to take measures to prevent the occurrence of
violations.
Id.
citing Precision Concrete Constr. 19 BNA OSHC 1404, 1407
(No. 99-707, 2001).
According
to Nissan’s Safety and Health Directive
on lockout, an employee’s immediate supervisor is responsible for assuring the
employee is “properly trained in lockout/tagout procedures.” (Exh. C-7, p. 1). The Safety Department is responsible for
conducting general lockout training, while the supervisor is responsible for
machine-specific training (Exh. C-7, p. 2). Based on his testimony, this training
obligation for supervisors was unknown to Supervisor Looney (Tr. 149; 161).[21] Nor would his failure to perform this
training have been known to Safety Director Viswanathan, as he testified he did
not monitor supervisors to ensure they conducted machine-specific training (Tr.
174). The only documentary record of
training in the record is that showing the technicians watched the 10-minute
introductory video (Exh. C-8). The evidence demonstrates a lack of diligence
on the part of Nissan regarding the training required by the standard. Nissan had constructive knowledge of its
failure to train the technicians on lockout procedures for CP-M7. See
General Motors, 22 BNA OSHC at 1031.[22]
The
Secretary has met his burden to establish Nissan violated § 1910.147(c)(7)(i).
Unpreventable Employee Misconduct
To prevail on the affirmative defense of unpreventable employee
misconduct, an employer must show that it has (1) established work rules
designed to prevent the violation, (2) adequately communicated those rules to
its employees, (3) taken steps to discover violations, and (4) effectively
enforced the rules when violations have been discovered. See,
e.g., Stark Excavating, Inc., 24
BNA OSHC 2218 (Nos. 09-0004 and 09-0005, 2014), citing Manganas Painting Co., 21 BNA OSHC
1964, 1997 (No. 94-0588, 2007). The affirmative defense of employee
misconduct applies in situations in which the behavior of the employee creates
the violative condition. Nissan
mistakenly focuses on the injured employee’s failure to perform his assignment
properly, rather than on the violative condition, i.e. the failure to train.
To prevail on the affirmative defense of
unpreventable employee misconduct for the alleged violation of §
1910.147(c)(7)(i), Nissan would have to establish it
had a rule designed to prevent the failure to train employees on lockout
procedures. Nissan does have such a rule
contained in its Safety and Health
Directive on lockout (Exh. C-7). That rule requires immediate supervisors to
train employees on machine-specific lockout procedures. Nissan failed to present any evidence that
rule was communicated to supervisors. It
also failed to establish it monitored to ensure that training was being
provided. To the contrary, Safety
Director Viswanathan testified he did no monitoring of this requirement. Nissan documented no training beyond the
initial 10-minute video containing an overview of lockout.[23] Nissan failed to establish it communicated
its training obligations to supervisors or took steps to ensure employees were
properly trained on lockout procedures applicable to their work assignments.
Nissan failed to establish the violation of §
1910.147(c)(7)(i) was the result of unpreventable
employee misconduct.
Characterization
The Secretary alleges
the violation was serious. A violation is serious when “there
is a substantial probability that death or serious physical harm could result”
from the hazardous condition at issue. 29 U.S.C. § 666(k). The Secretary need not show that there was a
substantial probability that an accident would occur; only that if an accident
did occur, death or serious physical harm would result. Training employees on lockout is necessary to
ensure they know how to protect themselves from exposure to unexpected startup
of machinery. As demonstrated by the
injured employee’s partial amputation, the likely injury should an employee be
in the zone of danger when the conveyor restarted unexpectedly is serious
physical harm. Item 2, Citation 1, is
properly characterized as a serious violation.
Penalty
Determination
The Secretary proposed a penalty of
$12,675.00 for Item 2, Citation 1. The
Commission, in assessing an appropriate penalty, must give due consideration to
the gravity of the violation and to the size, history and good faith of the
employer. See § 17(j) of the Act. The
Commission is the final arbiter of penalties.
Hern Iron Works, Inc., 16 BNA OSHC 1619, 1622, (No. 88-1962,
1994), aff’d, 937 F.2d 612 (9th Cir. 1991) (table); see Valdak Corp., 17 BNA OSHC 1135, 1138 (No. 93-0239,
1995) (“The [OSH] Act places limits for penalty amounts but places no
restrictions on the Commission’s authority to raise or lower penalties within
those limits.”), aff’d, 73 F.3d 1466 (8th Cir. 1996). In assessing a penalty, the Commission gives
due consideration to all of the statutory factors with
the gravity of the violation being the most significant. OSH Act § 17(j), 29 U.S.C. § 666(j); Capform Inc., 19 BNA OSHC 1374, 1378 (No.
99-0322, 2001), aff’d, 34 F. App’x 152 (5th
Cir. 2002) (unpublished). “Gravity is a principal factor in a penalty determination
and is based on the number of employees exposed, duration of exposure,
likelihood of injury, and precautions taken against injury.” Siemens Energy and Automation, Inc., 20
BNA OSHC 2196, 2201 (No. 00-1052, 2005).
The gravity of
the violation is high. Unexpected
startup of the conveyor exposed the technicians to serious injury over the
period required to perform the preventive maintenance inspection. Nissan failed to take precautions to ensure
the technicians were protected from this hazard. The mechanic performing maintenance on the robot
was unaware employees were on the mezzanine level. Neither the technicians nor their supervisor
was aware the mechanic had shut down the conveyor or that he would restart it
while they were inspecting CP-M7. This
lack of coordination increased the likelihood of injury to the technicians, warranting
a high gravity based penalty.
In assessing a
penalty, I have taken into account mitigating
factors. Nissan is a large employer. This facility had over 6,000 employees. Nissan is not entitled to consideration for
size. CSHO Oglesby testified Nissan has
received a serious citation in the past (Tr. 67). The record contains no more detail regarding
Nissan’s citation history. With regard to good faith, I find the serious discrepancies
between Nissan’s written policies regarding training and its training practices
to weigh against a finding of good faith.
Based upon the
forgoing considerations, a penalty of $12,675.00 is assessed.
FINDINGS
OF FACT AND CONCLUSIONS OF LAW
The foregoing decision constitutes
the findings of fact and conclusions of law in accordance with Rule 52(a) of
the Federal Rules of Civil Procedure.
ORDER
Based
upon the foregoing decision, it is ORDERED that:
1. Item
1, Citation 1, alleging a serious violation of 29 C.F.R. § 1910.147(c)(9) is VACATED;
2. Item
2, Citation 1, alleging a serious violation of 29 C.F.R. § 1910.147(c)(7)(i) is AFFIRMED
and a penalty of $12,675.00 assessed.
SO ORDERED.
/s/ Heather A. Joys
Date:
July 20, 2018 Administrative Law Judge
Atlanta, Georgia
[1] Initiation of the inspection was
delayed in order to resolve a dispute regarding
employee representative participation in the inspection. That issue is not before me. Nor has Nissan raised the timeliness of the
citation as an issue for resolution.
[2] To the extent either party failed
to raise any other arguments in its post-hearing brief, such arguments are
deemed abandoned.
[3] The elevated area in which the
conveyor is located, as seen from ground level, is depicted in Exhibit
C-2. The same area, as seen from the
mezzanine, is depicted in Exhibit C-3.
Exhibit R-1 contains a schematic of the conveyor.
[4] The names of hourly employees,
including the name of the injured employee, have been omitted for privacy.
[5] Technician 2 and the injured
employee had completed the 14-week training at Nissan’s training facility and had
worked at the Canton facility approximately three months.
[6] Technician 1 contradicted this
testimony. Regarding his conversation
with the injured employee, he stated:
A: Well, I just told him, “It’s a visual PM;
let’s go ahead and look it over, and if you find anything wrong, write it down;
if you don’t, get on with the work here,” you know.
Q: Did you tell him, you know, the equipment was
hot and not to touch anything, anything like that?
A: Yes. I
told him that. I hold him that, you
know, the line is hot.
(Tr.
245-46). I do not find Technician 1 a
credible witness. He appeared rehearsed
and eager to disavow any culpability in the accident. Much of his testimony regarding his admonitions
to the injured employee not to touch anything required prompting by counsel. I give this testimony no weight.
[7] Technician 2’s testimony
corroborated the injured employee’s account.
He testified he had not performed this specific inspection before but
had done similar orders (Tr. 103). He
equivocated whether he instructed the injured employee but admitted to doing
the same tasks in the same manner as the injured employee (Tr. 103, 113). I find both Technician 2 and the injured
employee credible witnesses. Both are current Nissan employees. Although appearing nervous, both gave
straightforward answers on direct and cross examination. Their testimony was consistent with one
another and, for the most part, with prior statements. I credit the testimony of Technician 2 and the
injured employee.
[8] Maintenance Manager Schuetzle testified the contract mechanic told him he had
not locked out the upper conveyor (Tr. 223).
Nor would doing so be necessary in the area in which the contract
mechanic was working (Tr. 223-24). According
to Supervisor Looney, they discovered after the accident the employees working
on the robot had wanted to test the conveyor so they “took their locks off and
started the line.” (Tr. 161) Muthu Viswanathan,
safety manager for the Canton facility, testified the contract mechanic had
locked out the conveyor at the master control panel (Tr. 206). The contract mechanic did not testify and no
prior statements from him were submitted into the record. I cannot determine on this record which
portion of the conveyor the contract mechanic had locked out. The record establishes only that the conveyor
had been deenergized at the main disconnect.
[9] Item 1, Citation 1, originally
alleged a violation of § 5(a)(1) of the Act or the General Duty Clause. By order of March 8, 2018, Item 1, Citation
1, was amended to allege a violation of the standard at § 1910.147(c)(9). The Secretary moved to amend the date of the
alleged violation at the start of the hearing.
That motion was granted over Nissan’s objection.
[10] Nissan incorrectly focuses
exclusively on the injured employee. The
Secretary contends Technician 2 and the injured employee were exposed to the
hazard. Nissan’s argument with regard to whether the injured employee was an affected
employee would apply equally to both allegedly exposed employees.
[11] There is a passing reference to
the area being a welding area (Tr. 211).
[12] Exposure of the technicians to the
unexpected energization of CP-M7 as a result of the
contract mechanic’s restart of the conveyor would appear to be the type of
exposure § 1910.147 was intended to prevent (See 54 FR at 36647-48). The
fault of the Secretary’s case is his failure to cite an appropriate
standard. On this I agree with Nissan,
the Secretary has tried to fit a square peg into a round hole.
[13] As evidence of this lack of
clarity, Manager Schuetzle testified the list
included inspecting equipment that was not part of CP-M7 (Tr. 221-23).
[14] Nissan repeatedly refers to the
injured employee bypassing guards to reach the belt. As shown in the photographs of the area, the
belt the injured employee was checking was not covered in a manner that
required he bypass or remove a guard (Tr. 43-44; Exhs.
C-3 and C-4). Portions of the belt
appear exposed. The injured employee
conceded he reached over the guard (Tr. 136).
The guard did not prevent the injured employee from grabbing the belt.
[15] Safety Director Viswanathan, conceded the assignment
required cleaning the proximity switches (Tr. 201). I found Manager Shueltzle’s
testimony suggesting cleaning the proximity switches could be done by putting a
rag on a stick and swatting at it (Tr. 234) an unpersuasive attempt to explain
away unfavorable documentary evidence.
[16] The standard
requires an “authorized employee,” defined as “a person who locks out or tags out machines or equipment in
order to perform servicing or maintenance on that machine or equipment” to be
trained “in the recognition of
applicable hazardous energy sources, the type and magnitude of the energy
available in the workplace, and the methods and means necessary for energy
isolation and control.” 29 C.F.R. §§
1910.147(b) and 1910.147(c)(7)(i)(A). For affected employees, the standard requires
instruction “in the purpose and use of the energy control procedure.” 29 C.F.R. § 1910.147(c)(7)(i)(B). The
standard’s preamble further clarifies
in order to provide adequate information, any
training program under this standard will need to cover at least three areas:
The employer’s energy control program, the elements of the energy control
procedure which are relevant to the employee’s duties, and the requirements of
this Final Rule. The details will necessarily vary from workplace to workplace,
and even from employee to employee within a single workplace, depending upon
the complexity of the equipment and the procedure, the employee’s job duties
and their responsibilities under the energy control program, and other factors.
Paragraphs (c)(7)(i) (A), (B), and (C) of the
standard establish the amount of training that is required for the three groups
of employees: “authorized” employees, “affected” employees, and all “other”
employees. The relative degree of knowledge required by these three employee
groups is in descending order, with the requirements for authorized employees
demanding the most effort in training. Because authorized employees are charged
with the responsibility for implementing energy control procedures, it is
important that they receive training in recognizing and understanding all
potentially hazardous energy sources that
they might be exposed to during their work assignments, and that they also be
trained in the use of adequate methods and means for the control of such energy
sources. These employees are the ones
authorized to implement the energy control procedure and to perform servicing
of the machine or equipment. Therefore, they need extensive training in aspects
of the procedure and its proper utilization, together with all relevant information
about the equipment being serviced.
54
FR at 36673-74.
[17] Nissan relies on Chairman Railton’s opinion in Timken
Co., 20 BNA OSHC 2034 (No. 97-1457, 2004) in arguing its 10-minute video
was sufficient under the standard. In Timken, the two participating
Commissioners, unable to reach consensus, vacated the direction for review,
resulting in the ALJ’s decision affirming the alleged violation of the training
standard becoming a final order of the Commission with the precedential value
of an unreviewed ALJ decision. Id. at 2035. The subsequent Commission decision in General Motors, cited herein, did not adopt
Chairman Railton’s position with
regard to the requirements for initial training under the standard.
[18] Contrary to Nissan’s contention in its brief, there is no
evidence it provided either Technician 2 or the injured employee with its Safety and Health Directive on lockout
prior to the accident. Nissan did not
provide the technicians with its employee handbook, rather it was available
to employees “online.” (Tr. 190).
[19] Safety Director Viswanathan
testified the online training, where Nissan suggests such testing might have
occurred, was refresher training the technicians would not have had as of the
date of the accident (Tr. 180-81, 185).
The injured employee testified he took some online training during his
14-weeks at the training center (Tr. 129).
He was unable to say whether any of that online training involved safety
issues (Tr. 130).
[20] Supervisor Looney did not appear to know
whether the technician’s assignment required CP-M7 be locked out. When specifically asked, he equivocated:
Q: And because it was a visual only PM, they
didn’t need to lock out, did they?
A: They did not—oh, excuse me. No.
Now, parts of that PM, they still should have locked out, because they
had to inspect – you know, there’s a gray area there on the proximity switches,
so they probably should have locked out anyway.
But if they were going to touch the machinery, they should have locked
out.
(Tr.
162. He testified the belts could have
been checked by an ultrasonic device rather than by hand (Tr. 164). He later clarified, regardless of the method
used, checking belts required lockout (Tr. 165).
[21] It is undisputed Supervisor Looney was the immediate
supervisor of Technician 1, Technician 2, and the injured employee.
[22] To establish
knowledge, the Secretary need not show Nissan knew its failure to train was
hazardous.
Under
Commission precedent, “[t]he knowledge element is directed to the physical
conditions that constitute a violation, and the Secretary need not show that an
employer understood or acknowledged that the physical conditions were actually
hazardous.” Danis Shook Joint Venture
XXV, 19
BNA OSHC 1497,
1501, 2001 CCH OSHD ¶ 32,397, p. 49,865 (No. 98-1192, 2001) (citation omitted), aff'd, 319 F.3d 805 (6th Cir.
2003).
Boh
Brothers Construction Co., LLC,
24 BNA OSHC at 1074.
[23] Failure of a party to present
evidence under its control raises an inference that evidence would not support
its position. Capeway Roofing Systems, Inc., 20 BNA OSHC 1331
(No. 00-1968, 2003) (citations omitted); see
also Regina Contr. Co., 15 BNA OSHC 1044, 1049 ((No. 87-1309, 1991).