Inspection Detail

Case Status: CLOSED

Inspection: 1517519.015 - Iac Wauseon, Llc

Inspection Information - Office: Toledo Area Office

Inspection Nr: 1517519.015

Report ID: 0524700

Date Opened: 03/04/2021

Site Address:
Iac Wauseon, Llc
555 West Linfoot
Wauseon, OH 43567

Mailing Address:
555 West Linfoot, Wauseon, OH 43567

Union Status: Union

SIC:

NAICS: 336360/Motor Vehicle Seating and Interior Trim Manufacturing

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 03/04/2021

Emphasis: N:Amputate, L:Piv

Case Closed: 07/09/2021

Related Activity
Type	Activity Nr	Safety	Health
Referral	1739793	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			2		3
Current Violations	1			2		3
Initial Penalty	$13,653	$0	$0	$3,902	$0	$17,555
Current Penalty	$8,192	$0	$0	$1,951	$0	$10,143
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Current Penalty	Initial Penalty	FTA Penalty	Latest Event
1.	01001A	Serious	19100178 L02 II	05/06/2021	$8,192	$13,653	$0	I - Informal Settlement
2.	01001B	Serious	19100178 N06	05/06/2021	$0	$0	$0	I - Informal Settlement
3.	02001	Other	19040032 A04	05/06/2021	$1,951	$1,951	$0	I - Informal Settlement
4.	02002	Other	19040040 A	05/06/2021	$0	$1,951	$0	I - Informal Settlement

Investigation Summary

Investigation Nr: 133751.015

Event: 02/25/2021

Employee fractures ankle in forklift accident, four toes are

At 10:20 a.m. on February 25, 2021, an employee came out of the restroom heading back to her workstation. The employee proceeded to walk behind a forklift, when the forklift operator backed up, striking the employee and rolling over her left ankle. The employee was hospitalized for the surgical amputation of four toes and a fractured ankle.

Keywords: Ankle, Backing Up, Forklift, Fracture, Struck By, Surgical Amputation, Toe

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1517519.015	64	M	Hospitalized injury		Miscellaneous material moving equipment operators

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