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Occupational Safety and Health Administration OSHA

Inspection Detail

Case Status: OPEN

Note: The following inspection has not been indicated as closed. Please be aware that the information shown may change, e.g. violations may be added or deleted. For open cases, in which a citation has been issued, the citation information may not be available for 5 days following receipt by the employer for Federal inspections or for 30 days following receipt by the employer for State inspections.

Inspection: 1500933.015 - C 4 Polymers, Inc.

Inspection Information - Office: Cleveland


Inspection Nr: 1500933.015
Report ID: 0522300
Open Date: 11/04/2020

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


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

Close Case:

Related Activity
Type Activity Nr Safety Health
Accident 1681955
Case Status: OPEN
Violation Summary
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

Violation Items
# Citation ID Citaton Type Standard 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

Investigation Nr: 130891.015
Event: 11/03/2020
Employee Is Killed After Being Struck By Piv Mast

At 3:00 p.m. on November 3, 2020, an employee was operating a Raymond Model DSD5 0R 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 contai ner from the forks when he bumped into the control levers causing the mast to lo wer. 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 po

Investigated Inspection
# Inspection Age Sex Degree Nature Occupation
1 1500933.015 Fatality Sales occupations, other business services
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