Inspection Detail

Inspection: 308131218 - Pape Material Handling Inc

Inspection Information - Office: Bend

Inspection Nr: 308131218

Report ID: 1054115

Date Opened: 09/09/2004

Site Address:
Pape Material Handling Inc
600 Ne Columbia Dr
Boardman, OR 97818

Mailing Address:
Po Box 407, Eugene, OR 97440

Union Status: NonUnion

SIC:5084

NAICS: 423830/Industrial Machinery and Equipment Merchant Wholesalers

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/07/2004

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 06/28/2005

Related Activity
Type	Activity Nr	Safety	Health
Accident	101700300

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	3					3
Current Violations	3					3
Initial Penalty	$11,250	$0	$0	$0	$0	$11,250
Current Penalty	$7,000	$0	$0	$0	$0	$7,000
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citation Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event
1.	01001	Serious	701076001 A	11/08/2004	11/18/2004	$3,000	$5,000	$0	11/26/2004	L - State Settlement
2.	01002	Serious	19100244 A02 III	11/08/2004	11/18/2004	$3,000	$5,000	$0	11/26/2004	L - State Settlement
3.	01003A	Serious	701076506 D D	11/08/2004	11/18/2004	$1,000	$1,250	$0	11/26/2004	L - State Settlement
4.	01003B	Serious	701076506 D B	11/08/2004	11/18/2004	$0	$0	$0	11/26/2004	L - State Settlement
5.	01003C	Serious	701076506 A B	11/08/2004	11/18/2004	$0	$0	$0	11/26/2004	L - State Settlement
6.	01003D	Serious	701076505 A C	11/08/2004	11/18/2004	$0	$0	$0	11/26/2004	L - State Settlement

Investigation Summary

Investigation Nr: 201701745

Event: 09/09/2004

Employee Is Killed When Crushed by Fork Lift

At approximately 8:15 a.m. on September 9, 2004, Employee #1 was attempting to remove a starter from a forklift. Employee #1 elevated the rear of the forklift by means of a floor jack and crawled under the raised machine without blocking or cribbing. The jack became dislodged from its position and shot out from under the forklift. This caused the forklift to drop suddenly onto Employee #1, crushing him. Employee #1 suffered severe injuries to the body and head which killed him.

Keywords: CHOCK, HEAD, CRUSHED, INDUSTRIAL TRUCK, DISLOCATED, FALLING OBJECT, JACK

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	308131218			Fatality	Other	Helpers, mechanics and repairers

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