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Inspection Detail
Inspection: 1241823.015 - 106177 - Modern Materials Inc
Inspection Information - Office: Indiana Department Of Labor
Site Address:
106177 - Modern Materials Inc
435 North State Road 25
Rochester, IN 46975
Mailing Address:
435 North State Road 25, Rochester, IN 46975
Union Status: NonUnion
SIC:3479
NAICS: 332812/ Metal Coating, Engraving (except Jewelry and Silverware), and Allied Services to Manufacturers
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 05/31/2017
Emphasis:
Case Closed: 01/25/2019
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1220766 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 4 | 1 | 5 | |||
| Current Violations | 3 | 1 | 4 | |||
| Initial Penalty | $28,000 | $0 | $0 | $500 | $0 | $28,500 |
| Current Penalty | $10,500 | $0 | $0 | $0 | $0 | $10,500 |
| 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 | 22.8(1)(1)(SEC2) | 10/11/2017 | 01/25/2018 | $3,500 | $7,000 | $0 | I - Informal Settlement | ||
| 2. | 01002 | Serious | 19100178 L04 III | 10/11/2017 | 11/14/2017 | $3,500 | $7,000 | $0 | I - Informal Settlement | ||
| 3. | 01003 | Serious | 19100178 N06 | 10/11/2017 | 11/14/2017 | $0 | $7,000 | $0 | I - Informal Settlement | Citation has been deleted. | |
| 4. | 01004 | Serious | 19100178 Q06 | 10/11/2017 | 01/25/2018 | $3,500 | $7,000 | $0 | I - Informal Settlement | ||
| 5. | 02001 | Other | 19040039 A02 | 10/11/2017 | 11/14/2017 | $0 | $500 | $0 | I - Informal Settlement |
Investigation Summary
At 10:01 a.m. on May 30, 2017, an employee was struck by a forklift as it was backing out of a truck that was being loaded with wooden pallets. The driver backed out of a truck at the dock, turned, and struck the employee, sending him to the ground. The employee sustained multiple injuries to his left leg, knee, and foot. On May 30, 2017 at 5:30 am, the employee died at home. It was reported that his lungs filled with fluid and he suffered a heart attack.
Keywords: Heart Attack, Powered Industrial Vehicle, Struck By
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1241823.015 | 62 | M | Fatality | Occupation not reported |