Inspection Detail

Inspection: 14721211 - Trade Names Division Lasalle Deitch Co Inc

Inspection Information - Office: Indiana Department Of Labor

Inspection Nr: 14721211

Report ID: 0551800

Date Opened: 12/10/1984

Site Address:
Trade Names Division Lasalle Deitch Co Inc
2323 Middlebury St
Elkhart, IN 46515

Mailing Address:
Po 1083, Elkhart, IN 46515

Union Status: NonUnion

SIC:3714

NAICS: 0

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 06/14/1985

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 06/14/1985

Related Activity
Type	Activity Nr	Safety	Health
Accident	360582209

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations	1					1
Initial Penalty	$1,620	$0	$0	$0	$0	$1,620
Current Penalty	$810	$0	$0	$0	$0	$810
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	Serious	2200080101	02/18/1985	02/21/1985	$810	$810	$0	04/08/1985	F - Formal Settlement	Citation has been deleted.
2.	01002	Serious	19100178 M12 I	02/18/1985	02/21/1985	$810	$810	$0	04/08/1985	F - Formal Settlement

Investigation Summary

Investigation Nr: 14464093

Event: 12/04/1984

Employee injured in fall off lift forks

At approximately 3:00 p.m. on December 4, 1984, Employee #1 had just changed the bulb on an 8 ft long fluorescent light, and was attempting to plug in the unit. He was standing in a 36 in. deep wooden box that was on the elevated forks of a lift. He reached out about 5 1/2 feet from the box to plug in the bulb, leaning against the side of the box. The box tipped over, and Employee #1 and the box fell about 10 1/2 ft to the floor. He suffered severe facial fractures, for which he was hospitalized.

Keywords: FRACTURE, UNSECURED, WORK RULES, INDUSTRIAL TRUCK, FALL, ELEVATED WORK PLAT, FACE, OVERTURN, UNSTABLE POSITION

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	14721211			Hospitalized injury	Fracture	Occupation not reported

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