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Inspection Detail
Inspection: 1409602.015 - Worth County Engineer Department
Inspection Information - Office: Iowa 0751910
Site Address:
Worth County Engineer Department
304 13th Street South
Northwood, IA 50459
Mailing Address:
1000 Central Ave, Northwood, IA 50459
Union Status: NonUnion
SIC:
NAICS: 921190/Other General Government Support
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: LocalGovt
Safety/Health: Safety
Close Conference: 06/21/2019
Emphasis: N:Amputate, S:Amputate
Case Closed: 12/11/2019
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1466578 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $1,704 | $0 | $0 | $0 | $0 | $1,704 |
| Current Penalty | $1,704 | $0 | $0 | $0 | $0 | $1,704 |
| 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 | 19260600 A03 I | 10/21/2019 | 12/09/2019 | $1,704 | $1,704 | $0 | Z - Issued |
Investigation Summary
At 7:18 a.m. on June 18, 2019, an employee was replacing the wear pads on the circle assembly of a Cat Model 12M3 Motor Grader. The employee had removed the circle assembly, including the bolts which hold the turntable and moldboard (scraper blade), when the moldboard fell on the employee causing leg fractures and requiring hospitalization.
Keywords: Automotive Repair, Blade, Bolt, Caught Between, Crushed, Equipment Operator, Falling Object, Fracture, Grader, Leg, Maintenance, Repair, Road Grader, Scraper, Struck By
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1409602.015 | 55 | M | Hospitalized injury | Equipment Operator: Heavy |