Inspection Detail

Inspection: 304413867 - La-Z-Boy

Inspection Information - Office: Utah Division Of Occupational Safety And Health

Inspection Nr: 304413867

Report ID: 0854910

Date Opened: 02/02/2004

Site Address:
La-Z-Boy
350 W 1000 N
Tremonton, UT 84337

Mailing Address:
350 West 1000 North, P.O.Box 280, Tremonton, UT 84337

Union Status: NonUnion

SIC:2512

NAICS: 337121/Upholstered Household Furniture Manufacturing

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 02/02/2004

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 05/03/2007

Related Activity
Type	Activity Nr	Safety	Health
Accident	101560266
Referral	201564382	Yes	Yes

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	4	1		1		6
Current Violations	3			2		5
Initial Penalty	$21,000	$70,000	$0	$500	$0	$91,500
Current Penalty	$9,000	$0	$0	$1,000	$0	$10,000
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	Serious	10005 C02	07/28/2004	08/03/2004	$4,500	$70,000	$0	08/26/2004	F - Formal Settlement
2.	02001	Serious	6020101	07/27/2004	07/31/2004	$4,500	$7,000	$0	08/26/2004	F - Formal Settlement
3.	02002	Other	10005 C06	07/28/2004	07/31/2004	$500	$7,000	$0	08/26/2004	F - Formal Settlement
4.	02003	Serious	10005 D04	07/28/2004	08/03/2004	$0	$0	$0	08/26/2004	F - Formal Settlement
5.	02004	Serious	19100176 B	07/28/2004	07/31/2004	$7,000	$7,000	$0	08/26/2004	F - Formal Settlement	Citation has been deleted.
6.	03001	Other	10005 C04	07/28/2004	08/03/2004	$500	$500	$0	08/26/2004	F - Formal Settlement

Investigation Summary

Investigation Nr: 201560976

Event: 12/10/2003

Employee Dies of Pulmonary Embolism Cardiac Arrest

On December 10, 2003, Employee #1 (a material handler) was manipulating 450-pound bales of fiber fill, by hand, in order to arrange them individually so they could be picked up and moved by the forklift. A bale fell on him, and he sustained multiple bone fractures. Approximately 10 days after the accident, Employee #1 developed deep vein thrombosis. On January 7, 2004, he died of cardiac arrest caused by a pulmonary embolism that developed as a secondary complication of the fractures and deep vein thrombosis.

Keywords: HEART, FRACTURE, CARDIAC ARREST, MANUAL MAT HANDLING, STRUCK BY, PULMONARY EMBOLISM, UNSTABLE POSITION

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	304413867			Fatality	Fracture	Freight, stock and material handlers, n.e.c.

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