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Inspection Detail
Inspection: 100974104 - Modu Form, Inc.
Inspection Information - Office: Springfield Area Office
Inspection Nr: 100974104
Report ID: 0112600
Date Opened: 10/18/2000
Site Address:
Modu Form, Inc.
172 Industrial Road
Fitchburg, MA 01420
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:2519
NAICS: 0
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 11/08/2000
Emphasis: L:Eisa
Case Closed: 01/03/2001
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 200693463 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 3 | 5 | |||
| Current Violations | 2 | 3 | 5 | |||
| Initial Penalty | $1,650 | $0 | $0 | $0 | $0 | $1,650 |
| Current Penalty | $825 | $0 | $0 | $0 | $0 | $825 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Serious | 19100132 A | 11/21/2000 | 01/10/2001 | $413 | $825 | $0 | A - Amendment | ||
| 2. | 01002 | Serious | 19100132 D01 | 11/21/2000 | 01/10/2001 | $413 | $825 | $0 | A - Amendment | ||
| 3. | 02001 | Other | 19100107 G03 | 11/21/2000 | 11/27/2000 | $0 | $0 | $0 | - | ||
| 4. | 02002 | Other | 19101048 D01 I | 11/21/2000 | 01/10/2001 | $0 | $0 | $0 | - | ||
| 5. | 02003 | Other | 19101200 H03 II | 11/21/2000 | 01/10/2001 | $0 | $0 | $0 | - |