Inspection Detail

Case Status: CLOSED

Inspection: 1292395.015 - Landscape Forms Inc

Inspection Information - Office: Miosha General Industry Safety & Health Division

Inspection Nr: 1292395.015

Report ID: 0552652

Date Opened: 02/15/2018

Site Address:
Landscape Forms Inc
7800 E Michigan Ave
Kalamazoo, MI 49048

Mailing Address:
7800 E Michigan Ave, Kalamazoo, MI 49048

Union Status: NonUnion

SIC:

NAICS: 337127/Institutional Furniture Manufacturing

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 03/07/2018

Emphasis:

Case Closed: 10/23/2018

Related Activity
Type	Activity Nr	Safety	Health
Referral	1305870	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations
Initial Penalty	$6,300	$0	$0	$0	$0	$6,300
Current Penalty	$0	$0	$0	$0	$0	$0
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	408.11211(1)(C)	03/30/2018	05/02/2018	$0	$6,300	$0	05/09/2018	D - Govt Dismissed	Citation has been deleted.
2.	01001B	Serious	408.13309(1)	03/30/2018	05/02/2018	$0	$0	$0	05/09/2018	D - Govt Dismissed	Citation has been deleted.

Investigation Summary

Investigation Nr: 103146.015

Event: 01/30/2018

Employee's cotton shirt catches fire while welding chair and

At 7:00 a.m. on January 30, 2018, an employee was welding a metal chair in a fixture with a MIG Welder. The employee was wearing a long sleeve cotton shirt that caught on fire and the employee suffered second degree burns to his abdomen, chest, left arm, and hand. The employee was also hospitalized for three weeks while receiving skin grafts.

Keywords: Abdomen, Arm, Burn, Chest, Fire, Hand, Skin, Welder, Welding

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1292395.015	39	F	Hospitalized injury		Welders and cutters

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