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Inspection Detail
Inspection: 1408931.015 - S & K Pallets
Inspection Information - Office: Iowa 0751910
Site Address:
S & K Pallets
3110 4th Ave S
Clear Lake, IA 50428
Mailing Address:
3110 4th Ave S, Clear Lake, IA 50428
Union Status: NonUnion
SIC:
NAICS: 321920/Wood Container and Pallet Manufacturing
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 06/17/2019
Emphasis:
Case Closed: 01/30/2020
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1463639 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 4 | 2 | 6 | |||
| Current Violations | 4 | 2 | 6 | |||
| Initial Penalty | $10,227 | $0 | $0 | $1,500 | $0 | $11,727 |
| Current Penalty | $5,500 | $0 | $0 | $0 | $0 | $5,500 |
| 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 | 19100022 A03 | 11/18/2019 | 01/07/2020 | $1,000 | $1,704 | $0 | I - Informal Settlement | ||
| 2. | 01002 | Serious | 19100029 B01 | 11/18/2019 | 01/07/2020 | $1,500 | $2,841 | $0 | I - Informal Settlement | ||
| 3. | 01003 | Serious | 19100157 C01 | 11/18/2019 | 01/07/2020 | $1,500 | $2,841 | $0 | I - Informal Settlement | ||
| 4. | 01004A | Serious | 19100305 G01 IV | 11/18/2019 | 12/27/2019 | $1,500 | $2,841 | $0 | I - Informal Settlement | ||
| 5. | 01004B | Serious | 19100305 J01 IV | 11/18/2019 | $0 | $0 | $0 | I - Informal Settlement | |||
| 6. | 02001 | Other | 19040004 A | 11/18/2019 | 12/27/2019 | $0 | $0 | $0 | I - Informal Settlement | ||
| 7. | 02002 | Other | 19040039 A03 | 11/18/2019 | 12/27/2019 | $0 | $1,500 | $0 | I - Informal Settlement |
Investigation Summary
At 9:41 a.m. on June 5, 2019, an employee was moving pallets with a forklift when he fell as he was attempting to dismount the forklift. The employee fractured his face and suffered a brain bleed from impact with the concrete floor and was hospitalized.
Keywords: Blunt force, Blunt force trauma, Brain, Concrete, Face, Fall, Forklift, Fracture, Head, Industrial Truck, Material Handling, Pallet, Powered Industrial Vehicle, Skull, Slip, Tripped
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1408931.015 | 40 | M | Hospitalized injury | Laborers, except construction |