Inspection Detail

Case Status: CLOSED

Inspection: 1273198.015 - Nh Watercare Llc

Inspection Information - Office: Concord Area Office

Inspection Nr: 1273198.015

Report ID: 0111700

Date Opened: 10/25/2017

Site Address:
Nh Watercare Llc
307 Elm Street
Milford, NH 03055

Mailing Address:
307 Elm Street, Milford, NH 03055

Union Status: NonUnion

SIC:

NAICS: 454390/Other Direct Selling Establishments

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/25/2017

Emphasis: L:Forklift

Case Closed: 03/23/2018

Related Activity
Type	Activity Nr	Safety	Health
Referral	1278360	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations	1					1
Initial Penalty	$5,432	$0	$0	$0	$0	$5,432
Current Penalty	$1,358	$0	$0	$0	$0	$1,358
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	Contest	Latest Event	Note
1.	01001A	Serious	19100178 L01 I	11/24/2017	01/12/2018	$1,358	$2,716	$0		I - Informal Settlement
2.	01001B	Serious	19100178 Q07	11/24/2017	01/12/2018	$0	$2,716	$0		I - Informal Settlement

Investigation Summary

Investigation Nr: 100657.015

Event: 10/25/2017

Employee suffers injuries when brakes fail on forklift

On October 25, 2017, an employee was working at a firm that sold water softening equipment directly to the public. He was driving a forklift down an incline. The forklift was carrying a pallet loaded with bags of salt. The forklift's brakes failed. A bag of salt bounced off the pallet and went under one of the tires. The forklift tipped over. The worker sustained a broken tibia, a concussion, and a laceration. He was hospitalized.

Keywords: Brake, Concussion, Equipment Failure, Fracture, Inadequate Maint, Ind Trk Operator, Industrial Truck, Laceration, Leg, Material Handling, Powered Industrial Vehicle, Roll-Over, Slope, Sloping

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1273198.015	28	M	Hospitalized injury		Plumber, pipefitter and steamfiter apprentices

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