Inspection Detail

Case Status: CLOSED

Inspection: 1412642.015 - Proform Thermal Systems Inc

Inspection Information - Office: Iowa 0751910

Inspection Nr: 1412642.015

Report ID: 0751910

Date Opened: 07/01/2019

Site Address:
Proform Thermal Systems Inc
501 North Elk Run
Waterloo, IA 50707

Mailing Address:
39870 Grand Ave, North Branch, MN 55056

Union Status: NonUnion

SIC:

NAICS: 236210/Industrial Building Construction

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 07/01/2019

Emphasis: N:Amputate, S:Amputate, S:Fall, S:Scaffold

Case Closed: 09/04/2019

Related Activity
Type	Activity Nr	Safety
Referral	1469411	Yes
Inspection	1412664	Yes
Inspection	1412658	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations				1		1
Initial Penalty	$3,030	$0	$0	$0	$0	$3,030
Current Penalty	$0	$0	$0	$3,030	$0	$3,030
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.	01001	Other	19260454 B	08/08/2019	09/20/2019	$3,030	$3,030	$0		I - Informal Settlement

Investigation Summary

Investigation Nr: 117611.015

Event: 06/25/2019

Employee receives amputation injuries when caught between co

At 11:30 p.m. on June 25, 2019, an employee used a lift (JLG 6009, serial #0300171231) to remove garbage from a roof. While the load descended, the employee placed their hand around the control guarding to look out for obstructions. At some point, a metal beam caught the control guarding and the employee received amputation injuries to their left hand index, middle and ring fingers. The employee was taken to the hospital and admitted for treatment.

Keywords: Amputated, Amputation, Beam, Caught Between, Equipment Operator, Finger, Guard, Hand, Roof

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1412642.015	26	M	Hospitalized injury		Construction laborers

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