Inspection Detail

Case Status: CLOSED

Inspection: 1437384.015 - Jeff Bultman

Inspection Information - Office: Iowa 0751910

Inspection Nr: 1437384.015

Report ID: 0751910

Date Opened: 10/09/2019

Site Address:
Jeff Bultman
28279 130th Street
Le Mars, IA 51031

Mailing Address:
1612 Ave F, Hawarden, IA 51023

Union Status: NonUnion

SIC:

NAICS: 112210/Hog and Pig Farming

Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/09/2019

Emphasis:

Case Closed: 04/02/2020

Related Activity
Type	Activity Nr	Safety
Referral	1504639	Yes
Accident	1537816
Inspection	1437396	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations	1					1
Initial Penalty	$2,651	$0	$0	$0	$0	$2,651
Current Penalty	$2,000	$0	$0	$0	$0	$2,000
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	Latest Event
1.	01001A	Serious	19101200 E01	02/10/2020	03/30/2020	$2,000	$2,651	$0	I - Informal Settlement
2.	01001B	Serious	19101200 G08	02/10/2020	03/30/2020	$0	$0	$0	I - Informal Settlement
3.	01001C	Serious	19101200 H01	02/10/2020	03/30/2020	$0	$0	$0	I - Informal Settlement

Investigation Summary

Investigation Nr: 120663.015

Event: 09/30/2019

Employee sustains burns from fire, later dies

At 5:00 p.m. on September 30, 2019, an employee was sitting alongside a Master Blaster Power Washer located in a box truck while having lunch. The employee suffered burns over 80 percent of his body when he caught on fire from undetermined causes. The employee was hospitalized and later died from his sustained injuries.

Keywords: Burn, Fire

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1437384.015	38	M	Fatality		Laborers, except construction

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