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Inspection Detail
Inspection: 1123525.015 - Fairchild Equipment, Inc.
Inspection Information - Office: Appleton Area Office
Site Address:
Fairchild Equipment, Inc.
1145 S. Huron Rd.
Green Bay, WI 54311
Mailing Address:
2140 Hutson Road, Green Bay, WI 54303
Union Status: NonUnion
SIC:
NAICS: 423830/Industrial Machinery and Equipment Merchant Wholesalers
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 04/25/2016
Emphasis: L:Piv
Case Closed: 06/15/2016
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1060855 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 4 | 4 | ||||
| Current Violations | 2 | 1 | 3 | |||
| Initial Penalty | $18,000 | $0 | $0 | $0 | $0 | $18,000 |
| Current Penalty | $9,900 | $0 | $0 | $3,000 | $0 | $12,900 |
| 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 | 19100147 C01 | 04/27/2016 | 06/16/2016 | $0 | $3,600 | $0 | I - Informal Settlement | Citation has been deleted. | |
| 2. | 01002 | Serious | 19100147 C04 I | 04/27/2016 | 06/16/2016 | $3,600 | $3,600 | $0 | I - Informal Settlement | ||
| 3. | 01003 | Serious | 19100244 A02 III | 04/27/2016 | 05/25/2016 | $6,300 | $6,300 | $0 | I - Informal Settlement | ||
| 4. | 01004 | Other | 19100244 A02 VI A | 04/27/2016 | 06/16/2016 | $3,000 | $4,500 | $0 | I - Informal Settlement |
Investigation Summary
At 1:04 p.m. on February 8, 2016, an employee was replacing or installing a new alternator in a forklift. The employee was a road service technician who did maintenance and servicing activities on powered industrial vehicles while at the host employer's worksites. The employee was using an AC Hydraulic A/S forklift jack (Model: FJ40, S/N: 140373) under the left drive tire, to lift a Hyster (Model: S50FT, S/N: F187V24851L) propane forklift. The employee elevated the forklift jack approximately 9? inches above the floor, and then went under the forklift without installing jack stands to begin repairs. Approximately one minute after starting the work, the hydraulic jack dislodged from under the forklift and shot approximately 8 feet across the floor, resulting in the forklift falling to the ground and crushing and killing the employee. There were no witnesses to the accident.
Keywords: Crushed, Hydraulic Jack, Maintenance, Powered Industrial Vehicle, Struck By
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1123525.015 | 59 | M | Fatality | Occupation Not Listed |