🔒 ARSAW Incident – LOTO Evidence Package

Jam clearing procedure, training documentation, equipment photographs, and disciplinary record – compiled for internal and external safety investigators.

Executive Summary

On October 8, 2025, an RME technician (Ethan Womack) cleared a jam on the ARSAW equipment. A Final Written Warning was later issued on October 13, 2025, alleging failure to follow LOTO requirements and categorizing the incident as a Category 1 safety violation.

The training document posted at the station and provided to the technician, the ARSAW Process Map Visual (PMV), states that for jam clearing activity the RME organization is not required to perform LOTO, and that LOTO is required for servicing, repair, or maintenance activities rather than routine jam clearing.

Photographs of the ARSAW equipment taken before and after the incident show changes to tagging and signage on the access doors, including additional labels appearing after the incident and after the disciplinary action was issued.

🔍 Equipment Photographs – Before and After

The following images document the ARSAW equipment and access doors before and after the incident and subsequent corrective action. These photographs are provided to help reviewers assess changes made to signage or tagging on the equipment.

1. ARSAW Equipment – BEFORE Incident

2. ARSAW Equipment – AFTER Incident

3. NO LOTO REQUIRED – Training Documentation

📋 ARSAW Training Documentation & Procedure

The ARSAW jam clearing procedure is defined in the ARSAW Process Map Visual (PMV) used for associate and RME training. The PMV covers Flow Lane, Infeed, and Outfeed jams, and distinguishes jam clearing from servicing, repair, and maintenance activities.

In the section titled "DESTACKER AND LIFT JAMS", the PMV includes the following instruction (emphasis added):

Note: For jam clearing activity the RME organization is not required to perform LOTO. For all other servicing, repair or maintenance activities LOTO is required.

ARSAW PMV – Clearing Flow Lane, Infeed, and Outfeed Jams (Training Document) Official training procedure posted at equipment

⏰ Timeline of Relevant Events

2018-11-13: ARSAW PMV revision documenting jam clearing procedures and stating that LOTO is not required for jam clearing activity is issued and used for training.
2025-10-08: Technician clears jam on ARSAW equipment consistent with the posted PMV. Equipment remains in normal operating configuration; LOTO is not applied because the activity is jam clearing, not servicing or repair.
2025-10-08: A "seek to understand" conversation is held. Technician states that the E-stop was pressed and that the technician operates based on posted procedure.
2025-10-13: Final Written Warning is issued alleging failure to follow LOTO, categorizing the incident as a Category 1 safety violation.
Post-incident: Additional tagging/signage appears on the left-side door, documented via "before" and "after" photographs.

📁 Evidence Index

E-001: ARSAW PMV – Clearing Flow Lane, Infeed, Outfeed Jams Official training document (PDF) E-002: ARSAW Equipment – Before Incident Photograph showing left-side door untagged E-003: ARSAW Equipment – After Incident Photograph showing additional LOTO tag/signage E-004: NO LOTO REQUIRED Training Document Official documentation contradicting disciplinary narrative E-005: Final Written Warning – October 13, 2025 HR disciplinary action document

🔍 Notes for Investigators & Reviewers

This page is designed to make it easier for qualified investigators, safety personnel, ethics officers, or regulatory agencies to:

Compare the written ARSAW jam clearing procedure to the narrative used in the Final Written Warning.
Evaluate whether the technician's actions aligned with the documented training.
Assess changes made to the physical equipment and signage after the incident.
Determine whether disciplinary action was consistent with internal documentation and OSHA standards.