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Inspection Detail
Inspection: 1544960.015 - Impact Fulfillment Services, Llc
Inspection Information - Office: Fairview Heights Area Office
Site Address:
Impact Fulfillment Services, Llc
3101 Westway Drive
Edwardsville, IL 62025
Mailing Address:
3101 Westway Drive, Edwardsville, IL 62025
Union Status: NonUnion
SIC:
NAICS: 493110/General Warehousing and Storage
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 07/23/2021
Emphasis: P:Piv, N:Amputate, L:Piv
Case Closed: 03/30/2022
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1787376 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 2 | 3 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $0 | $0 | $2,985 | $2,986 | $0 | $5,971 |
| Current Penalty | $0 | $0 | $1,493 | $1,493 | $0 | $2,986 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citation Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Repeat | 19040040 A | 10/20/2021 | $1,493 | $2,985 | $0 | 11/12/2021 | F - Formal Settlement | ||
| 2. | 02002A | Other | 19040004 A | 10/20/2021 | 11/16/2021 | $1,493 | $1,493 | $0 | 11/12/2021 | F - Formal Settlement | |
| 3. | 02002B | Other | 19040029 B02 | 10/20/2021 | 11/16/2021 | $0 | $1,493 | $0 | 11/12/2021 | F - Formal Settlement |
Investigation Summary
At 4:00 p.m. on July 14, 2021, Employee #1 was performing a start-of-shift inspection of a Raymond Standup Forklift (Model 750; Serial Number 750-20-AD78581) inside the warehouse. While backing away from the charging station, the employee attempted to dismount the forklift before it had come to a complete stop. His left foot remained on the "dead man" switch, allowing movement, while his right foot was planted on the floor behind the rear right wheel. The forklift ran over his right foot, causing degloving of the second and fifth toes, an open fracture of the fifth distal phalanx, and injuries to the second and third toenail beds. The employee was wearing steel-toed shoes at the time. Emergency services transported Employee #1 to the hospital, where he was admitted and treated.
Keywords: Broken, Broken Bone, Degloving, Foot, Forklift, Fracture, Run Over, Toe
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1544960.015 | 20 | M | Hospitalized injury | Industrial truck and tractor equipment operators |