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Inspection Detail
Inspection: 1500933.015 - C 4 Polymers, Inc.
Inspection Information - Office: Cleveland Area Office
Site Address:
C 4 Polymers, Inc.
16625 Wren Road
Chagrin Falls, OH 44023
Mailing Address:
16625 Wren Road, Chagrin Falls, OH 44023
Union Status: NonUnion
SIC:
NAICS: 424610/Plastics Materials and Basic Forms and Shapes Merchant Wholesalers
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 11/04/2020
Emphasis: L:Piv
Case Closed: 01/05/2024
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1681955 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $27,306 | $0 | $0 | $0 | $0 | $27,306 |
| Current Penalty | $8,192 | $0 | $0 | $4,096 | $0 | $12,288 |
| 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 | Other | 19100178 L01 I | 02/02/2021 | $4,096 | $13,653 | $0 | I - Informal Settlement | |||
| 2. | 01002 | Serious | 19100178 M04 | 02/02/2021 | $8,192 | $13,653 | $0 | I - Informal Settlement |
Investigation Summary
At 3:00 p.m. on November 3, 2020, an employee was operating a Raymond Model DSD50R Powered Industrial Truck (PIV) to dump a container of trash into a dumpster. The employee was standing between the mast and cab attempting to push the container from the forks when he bumped into the control levers causing the mast to lower. He was struck in the head and neck by the mast and was killed.
Keywords: Blunt force, Blunt force trauma, Caught Between, Driver, Dumpster, Forklift, Forks, Fracture, Head, Industrial Truck, Material Handling, Neck, Off Loading, Powered Industrial Vehicle, Struck By, Training, Unstable Position
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1500933.015 | 51 | M | Fatality | Sales occupations, other business services |