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Inspection Detail
Inspection: 1402161.015 - Ulma Form Works, Inc.
Inspection Information - Office: Hasbrouck Heights Area Office
Site Address:
Ulma Form Works, Inc.
58 5th Avenue
Hawthorne, NJ 07506
Mailing Address:
58 5th Avenue, Hawthorne, NJ 07506
Union Status: NonUnion
SIC:
NAICS: 332313/Plate Work Manufacturing
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 05/20/2019
Emphasis: L:Forklift
Case Closed: 09/25/2019
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1457111 | Yes | |
| Inspection | 1405653 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | 2 | |||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $5,115 | $0 | $0 | $0 | $0 | $5,115 |
| Current Penalty | $0 | $0 | $0 | $5,115 | $0 | $5,115 |
| 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 | Other | 19100147 C06 I | 06/13/2019 | 07/10/2019 | $5,115 | $5,115 | $0 | I - Informal Settlement | ||
| 2. | 02001 | Other | 19100110 E04 III | 06/13/2019 | $0 | $0 | $0 | Z - Issued |
Investigation Summary
At approximately 8:00 a.m. on May 18, 2019, an employee was positioning concrete form panels in preparation for shipment. The employee bruised his left pinky finger, caught in between concrete panels as they were being moved by the forklift. The employee was hospitalized.
Keywords: Caught Between, Caught In, Concrete, Finger, Forklift, Panel
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1402161.015 | 51 | M | Hospitalized injury |