Inspection Detail

Case Status: CLOSED

Inspection: 1668624.015 - Amazon - Fwa4

Inspection Information - Office: Indiana Department Of Labor

Inspection Nr: 1668624.015

Report ID: 0551800

Date Opened: 05/09/2023

Site Address:
Amazon - Fwa4
9798 Smith Road
Fort Wayne, IN 46809

Mailing Address:
9798 Smith Road, Fort Wayne, IN 46809

Union Status: NonUnion

SIC:

NAICS: 454110

Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 07/25/2023

Emphasis:

Case Closed: 11/01/2024

Related Activity
Type	Activity Nr	Safety	Health
Accident	2028394
Inspection	1670094	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations				1		1
Initial Penalty	$7,000	$0	$0	$0	$0	$7,000
Current Penalty	$0	$0	$0	$7,000	$0	$7,000
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	Other	22.8(1)(1)(SEC2)	09/18/2023	10/12/2023	$7,000	$7,000	$0	10/17/2023	F - Formal Settlement

Investigation Summary

Investigation Nr: 156164.015

Event: 05/08/2023

Employee is killed when strikes conveyor with head

At 12:30 p.m. on May 8, 2023, an employee traveled 103 feet on a JLG model 20MSP Serial Number 0130D40104 one man lift to clear a jam on a conveyor line. When the employee came to conveyor J5, he struck the conveyor with his head. En route to clear the blocked conveyor, the employee had a collision with a conveyor that measures approximately 6 feet 8 inches in height. The point of impact was the employee's head. The employee's head measured approximately 7 feet 5 inches from the lower level when standing on the lift. Upon the incident occurring, the employee suffered blunt force head injuries that resulted in death.

Keywords: Blunt force trauma, Conveyor, Crushed, Forklift, Head, Struck Against

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1668624.015	20	M	Fatality

Thank You for Visiting Our Website

You are exiting the Department of Labor's Web server.

The Department of Labor does not endorse, takes no responsibility for, and exercises no control over the linked organization or its views, or contents, nor does it vouch for the accuracy or accessibility of the information contained on the destination server. The Department of Labor also cannot authorize the use of copyrighted materials contained in linked Web sites. Users must request such authorization from the sponsor of the linked Web site. Thank you for visiting our site. Please click the button below to continue.