Inspection Detail

Case Status: CLOSED

Inspection: 1530386.015 - Pacific Surfaces Llc

Inspection Information - Office: Naperville Area Office

Inspection Nr: 1530386.015

Report ID: 0521400

Date Opened: 05/11/2021

Site Address:
Pacific Surfaces Llc
1300 Mark St
Elk Grove Village, IL 60007

Mailing Address:
1300 Mark St, Elk Grove Village, IL 60007

Union Status: NonUnion

SIC:

NAICS: 423320/ Brick, Stone, and Related Construction Material Merchant Wholesalers

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 08/27/2021

Emphasis: L:Piv

Case Closed: 09/10/2021

Related Activity
Type	Activity Nr	Safety	Health
Referral	1765541	Yes
Complaint	1770963	Yes

Case Status: CLOSED

Investigation Summary

Investigation Nr: 138571.015

Event: 05/06/2021

Employee lacerates foot while removing rigging sling from st

At 11:00 a.m. on May 6, 2021, Employee #1 had just placed a stone slab in a vertical position using a forklift. After placement, he attempted to remove a nylon rigging sling from beneath the slab by using his foot. As he did so, his foot struck the rough edge of the stone slab, resulting in a laceration that required one suture. The employee was treated without hospitalization.

Keywords: Foot, Forklift, Laceration, Rigging, Sling, Struck Against, Struck By

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1530386.015	99	M	Non Hospitalized injury

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