Inspection Detail
Inspection: 101327088 - Moore Business Forms & Systems Division
Inspection Information - Office: Toledo Area Office
Site Address:
Moore Business Forms & Systems Division
2275 Commerce Drive
Fremont, OH 43420
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:2761
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 01/25/1988
Planning Guide: Safety-Manufacturing
Emphasis:
Case Closed: 03/31/1988
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 360715262 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 6 | 6 | ||||
| Current Violations | 6 | 6 | ||||
| Initial Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| 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 | Other | 19100026 C02 VII | 02/22/1988 | 02/25/1988 | $0 | $0 | $0 | - | ||
| 2. | 01002 | Other | 19100106 D04 I | 03/03/1988 | 04/08/1988 | $0 | $0 | $0 | - | ||
| 3. | 01003 | Other | 19100106 D04 III | 03/03/1988 | 04/08/1988 | $0 | $0 | $0 | - | ||
| 4. | 01004 | Other | 19100106 D04 IV | 03/03/1988 | 04/08/1988 | $0 | $0 | $0 | - | ||
| 5. | 01005 | Other | 19100178 G10 | 02/22/1988 | 02/25/1988 | $0 | $0 | $0 | - | ||
| 6. | 01006 | Other | 19100305 A04 VB | 02/22/1988 | 02/25/1988 | $0 | $0 | $0 | - |
Investigation Summary
Employee #1 was approximately 7 ft above a concrete floor, working from a 24 ft extension ladder that had been placed on a 14 ft 4 in. metal joist. He either lost his balance or the ladder slipped and he fell backward, striking the bottom of his left rib cage against a large paper roll. He then fell to the concrete floor, striking the occipital bone in his skull (proximal and posterior to his right ear). Employee #1 was killed.
Keywords: EXTENSION LADDER, WORK RULES, LADDER, SLIP, STRUCK AGAINST, SKULL, FALL, LOST BALANCE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 101327088 | Fatality | Concussion | Occupation not reported |
Translate