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Inspection Detail
Inspection: 190680.015 - Monadnock Spring Water
Inspection Information - Office: Concord Area Office
Site Address:
Monadnock Spring Water
8 Mansur Road
Wilton, NH 03086
Mailing Address:
8 Mansur Road, Wilton, NH 03086
Union Status: NonUnion
SIC:
NAICS: 493110/General Warehousing and Storage
Inspection Type: Complaint
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 05/01/2012
Emphasis: L:Forklift
Case Closed: 07/30/2012
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Complaint | 146844 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 3 | 3 | ||||
| Initial Penalty | $13,300 | $0 | $0 | $0 | $0 | $13,300 |
| Current Penalty | $10,800 | $0 | $0 | $0 | $0 | $10,800 |
| 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 | Serious | 19100178 L01 I | 07/11/2012 | $4,900 | $4,900 | $0 | I - Informal Settlement | |||
| 2. | 01002 | Serious | 19100178 N04 | 07/11/2012 | $4,900 | $4,900 | $0 | I - Informal Settlement | |||
| 3. | 01003 | Serious | 19100178 Q07 | 07/11/2012 | $1,000 | $3,500 | $0 | I - Informal Settlement |
Investigation Summary
At approximately 1:00 p.m. on February 2, 2012, Employee #1 was changing a propane tank on the back of a forklift. While changing the propane tank on back of the forklift, Employee #1 was struck from behind by another forklift. The operator of the second forklift vision was blocked by a pallet of water bottles. The operator was not trained on the safe operation of forklift. Employee #1 sustained a fractured leg, muscle and nerve damage.
Keywords: Fracture, Industrial Truck, Leg, Struck By
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 190680.015 | 25 | M | Hospitalized injury | Production helpers |