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Inspection Detail
Inspection: 1668624.015 - Amazon - Fwa4
Inspection Information - Office: Indiana Department Of Labor
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
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 2028394 | ||
| Inspection | 1670094 | Yes |
| 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 |
| # | 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
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
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1668624.015 | 20 | M | Fatality |