Inspection Detail

Case Status: CLOSED

Inspection: 1216259.015 - Cloverleaf Cold Storage Co.

Inspection Information - Office: Iowa 0751910

Inspection Nr: 1216259.015

Report ID: 0751910

Date Opened: 03/08/2017

Site Address:
Cloverleaf Cold Storage Co.
4781 Harbor Drive
Sioux City, IA 51111

Mailing Address:
401 Douglas Street Suite 406, Sioux City, IA 51101

Union Status: NonUnion

SIC:

NAICS: 493120/Refrigerated Warehousing and Storage

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 03/09/2017

Emphasis: N:Amputate, S:Amputate

Case Closed: 05/19/2017

Related Activity
Type	Activity Nr	Safety	Health
Referral	1177870	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	4					4
Current Violations	3					3
Initial Penalty	$7,500	$0	$0	$0	$0	$7,500
Current Penalty	$4,500	$0	$0	$0	$0	$4,500
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Latest Event	Note
1.	01001	Serious	19100176 A	03/30/2017	04/18/2017	$0	$1,875	$0	I - Informal Settlement	Citation has been deleted.
2.	01002A	Serious	19100178 L01 I	03/30/2017	04/18/2017	$1,500	$1,875	$0	I - Informal Settlement
3.	01002B	Serious	19100178 L01 II	03/30/2017	04/18/2017	$0	$0	$0	I - Informal Settlement	Citation has been deleted.
4.	01002C	Serious	19100178 L03 II D	03/30/2017	04/18/2017	$0	$0	$0	I - Informal Settlement	Citation has been deleted.
5.	01002D	Serious	19100178 L03 II E	03/30/2017	04/18/2017	$0	$0	$0	I - Informal Settlement
6.	01003A	Serious	19100178 L04 II A	03/30/2017	04/18/2017	$0	$1,875	$0	I - Informal Settlement	Citation has been deleted.
7.	01003B	Serious	19100178 L04 II B	03/30/2017	04/18/2017	$0	$0	$0	I - Informal Settlement	Citation has been deleted.
8.	01003C	Serious	19100178 N01	03/30/2017	04/18/2017	$1,500	$0	$0	I - Informal Settlement
9.	01003D	Serious	19100178 N04	03/30/2017	04/18/2017	$0	$0	$0	I - Informal Settlement
10.	01004	Serious	19100178 N08	03/30/2017	04/18/2017	$1,500	$1,875	$0	I - Informal Settlement

Investigation Summary

Investigation Nr: 93778.015

Event: 01/26/2017

Employee's foot is crushed in a forklift collision

At 6:26 p.m. on January 26, 2017, an employee was using a high lift fork truck to remove and supply inventory in a warehouse freezer. As the employee approached the freezer entrance from one end, another fork truck came from the opposite direction and collided. The employee's foot became crushed between the two trucks, which he was hospitalized and received treatment.

Keywords: Amputation, Crushing, Equipment Operator, Foot, Material Handling, Powered Industrial Vehicle

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1216259.015	36	M	Hospitalized injury		Miscellaneous material moving equipment operators

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