Inspection Detail

Case Status: CLOSED

Inspection: 1462877.015 - Bomgaars Supply, Inc.

Inspection Information - Office: Iowa 0751910

Inspection Nr: 1462877.015

Report ID: 0751910

Date Opened: 02/07/2020

Site Address:
Bomgaars Supply, Inc.
1153 Tri View Avenue
Sioux City, IA 51103

Mailing Address:
1805 Zenith Drive, Sioux City, IA 51103

Union Status: NonUnion

SIC:

NAICS: 493110/General Warehousing and Storage

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 02/13/2020

Emphasis:

Case Closed: 04/02/2020

Related Activity
Type	Activity Nr	Safety	Health
Referral	1541208	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations	1					1
Initial Penalty	$6,819	$0	$0	$0	$0	$6,819
Current Penalty	$4,000	$0	$0	$0	$0	$4,000
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	Note
1.	01001A	Serious	19100178 N04	02/25/2020	03/06/2020	$4,000	$6,819	$0		I - Informal Settlement
2.	01001B	Serious	19100178 N06	02/25/2020	03/06/2020	$0	$0	$0		I - Informal Settlement

Investigation Summary

Investigation Nr: 123993.015

Event: 02/05/2020

Employee working in aisle breaks leg when struck by PIV load

At 2:45 p.m. on February 5, 2020, an employee working for a warehouse and storage facility was loading product onto a pallet. The employee was working in an aisle as a coworker was driving a fork truck loaded with 36 boxes of chicken starter feed headed in his direction. The coworker's vision was obscured, and he did not sound the horn. He struck the employee with the load he was carrying on his PIV. The employee broke his lower leg and was hospitalized.

Keywords: Blunt force, Blunt force trauma, Fracture, Horn, Industrial Truck, Lack of Work Procedures, Leg, Loading, Material Handling, Motor Vehicle, Obstructed View, PIV, Pallet, Palletized Cargo, Powered Industrial Vehicle, Stocking, Struck By, Unstable Position, Warehouse, Warehouse Aisle, Work Surface

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1462877.015	49	M	Hospitalized injury		Stock and inventory clerks

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