Inspection Detail
Inspection: 300138385 - Pergament Home Centers, Inc.
Inspection Information - Office: Long Island Area Office
Site Address:
Pergament Home Centers, Inc.
1101 Old Country Road
Riverhead, NY 11901
Mailing Address:
101 Marcus Drive, Melville, NY 11746
Union Status: Union
SIC:5211
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 11/20/1998
Emphasis:
Case Closed: 04/29/1999
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 100150291 | ||
| Referral | 200151926 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 1 | 4 | |||
| Current Violations | 3 | 1 | 4 | |||
| Initial Penalty | $10,350 | $0 | $0 | $0 | $0 | $10,350 |
| Current Penalty | $5,175 | $0 | $0 | $0 | $0 | $5,175 |
| 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 | 5A0001 | 11/20/1998 | 11/27/1998 | $3,150 | $6,300 | $0 | 12/04/1998 | J - ALJ Decision | |
| 2. | 01002 | Serious | 19100026 C02 VII | 11/20/1998 | 12/01/1998 | $1,125 | $2,250 | $0 | 12/04/1998 | J - ALJ Decision | |
| 3. | 01003 | Serious | 19100178 P01 | 11/20/1998 | 12/03/1998 | $900 | $1,800 | $0 | 12/04/1998 | J - ALJ Decision | |
| 4. | 02001 | Other | 19040002 A | 11/20/1998 | 11/25/1998 | $0 | $0 | $0 | 12/04/1998 | J - ALJ Decision |
Investigation Summary
Employee #1 was standing on a 40 in. by 48 in. wooden pallet that was elevated between 11 and 12 ft by a Clark forklift. He was attempting to store extra merchandise on the top level of a shelving unit when he lost his footing and fell onto the concrete floor. Employee #1 was killed. Subsequent investigation revealed that apparently a wooden slat had broken on one of the pallets, causing him to lose his balance.
Keywords: WORK RULES, EQUIPMENT FAILURE, RIDING ON EQUIPMENT, INDUSTRIAL TRUCK, FALL, FALL PROTECTION, MECH MAT HANDLING, ELEVATED WORK PLAT, LOST BALANCE, WORK SURFACE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 300138385 | Fatality | Other | Occupation not reported |
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