Inspection Detail

Case Status: CLOSED

Inspection: 1659936.015 - Surface Creations Of Vermont, Llc

Inspection Information - Office: Vt Department Of Labor - Vosha

Inspection Nr: 1659936.015

Report ID: 0155010

Date Opened: 03/30/2023

Site Address:
Surface Creations Of Vermont, Llc
93 Gonyeau Road
Milton, VT 05468

Mailing Address:
93 Gonyeau Road, Milton, VT 05468

Union Status: NonUnion

SIC:

NAICS: 327991/Cut Stone and Stone Product Manufacturing

Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 03/30/2023

Emphasis: S:Forklift

Case Closed: 02/29/2024

Related Activity
Type	Activity Nr	Safety	Health
Accident	2015163

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations				1	1	2
Initial Penalty	$10,938	$0	$0	$0	$0	$10,938
Current Penalty	$0	$0	$0	$0	$6,563	$6,563
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Unclass	19100176 B	09/12/2023	10/06/2023	$6,563	$10,938	$0	10/03/2023	F - Formal Settlement
2.	02001	Other	19100178 A05	09/12/2023	10/06/2023	$0	$0	$0	10/03/2023	F - Formal Settlement

Investigation Summary

Investigation Nr: 155055.015

Event: 03/29/2023

Employee is killed after being crushed by falling quartz sla

At 2:30 p.m. on March 29, 2023, an employee working as a laborer for a stone products manufacturer was standing to the left of a CAT forklift powered industrial vehicle (PIV). The employee was waiting for a coworker (PIV operator) to place an Aardwolf Slab Lifter 60 clamp into position over two quartz slabs. The employee went to release the red lever on the clamp after it rested on the two quartz slabs. However, the coworker did not have the clamp in the rested position yet. The coworker backed the PIV up approximately 6 inches to reposition the clamp and then drove forward as the employee walked up to the left side of the slabs. The edge of the clamp touched the slabs and caused them to tip over onto the employee pinning him between the slabs and an A-Frame. The employee was crushed and died from blunt force trauma of the torso.

Keywords: Backing Up, Blunt force, Blunt force trauma, Caught Between, Clamp, Contusion, Crushed, Driver, Falling Object, Forklift, Frame, Industrial Truck, Inexperience, Laborer, Material Handling, Motor Vehicle, PIV, Pinned, Powered Industrial Vehicle, Rock, Tips Over, Torso, Unstable Load, Unstable Position

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1659936.015	28	M	Fatality		Laborers, except construction

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