Inspection Detail

Case Status: CLOSED

Inspection: 1774086.015 - Impact Fab Inc

Inspection Information - Office: Miosha General Industry Safety & Health Division

Inspection Nr: 1774086.015

Report ID: 0552652

Date Opened: 09/04/2024

Site Address:
Impact Fab Inc
3440 John F Donnelly Drive
Holland, MI 49424

Mailing Address:
3440 John F Donnelly Drive, Holland, MI 49424

Union Status: NonUnion

SIC:

NAICS: 332710/Machine Shops

Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/28/2024

Emphasis:

Case Closed: 11/21/2024

Related Activity
Type	Activity Nr	Safety	Health
Accident	2209989

Case Status: CLOSED

Investigation Summary

Investigation Nr: 169974.015

Event: 09/04/2024

Employee dies from cardiac arrhythmia

At 3:30 a.m. on September 9, 2024, Employee #1 was assigned to pull water and garnet from the tank on Water Jet #3. While standing next to the pneumatic pump and observing the gauge, the employee reported feeling unwell to his supervisor and went to the bathroom. Upon returning, the employee lost consciousness. The cause of death was determined to be sudden cardiac arrhythmia due to ischemic cardiomyopathy as a consequence of coronary artery atherosclerosis with thrombosis. The fatality was attributed to natural causes.

Keywords: Artery, Cardiac Arrest, Cardiovasc Disease, Cardiovasc System, Coronary artery disease, Natural Causes, Pneumatic, Pneumatic equipment, Pneumatic system, Pneumatic tool , Pneumonia, Tank, Unconsciousness, Unresponsive, Water Tank

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1774086.015	29	M	Fatality

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