Inspection Detail

Inspection: 305202665 - Seymour Manufacturing Company, Inc.

Inspection Information - Office: Indiana Department Of Labor

Inspection Nr: 305202665

Report ID: 0551800

Date Opened: 09/16/2002

Site Address:
Seymour Manufacturing Company, Inc.
500 North Broadway
Seymour, IN 47274

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:3423

NAICS: 332212/Hand and Edge Tool Manufacturing

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/15/2002

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 12/09/2002

Related Activity
Type	Activity Nr	Safety	Health
Accident	362661829

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations	1					1
Initial Penalty	$3,500	$0	$0	$0	$0	$3,500
Current Penalty	$690	$0	$0	$0	$0	$690
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.	01001A	Serious	19100025 D02 I	11/15/2002	11/20/2002	$690	$3,500	$0		I - Informal Settlement
2.	01001B	Serious	19100025 D02 XV	11/15/2002	11/20/2002	$0	$0	$0		-

Investigation Summary

Investigation Nr: 305202665

Event: 08/21/2002

Employee Dies after Fall from Ladder

On August 21, 2002, Employee #1 was on a ladder when he felt it start to slip. He jumped approximately 15 ft to the ground and suffered two crushed heels, for which he underwent surgery on September 9, 2002. Employee #1 was home recuperating when he developed a blood clot that went to his heart. He was taken to Memorial Hospital in Seymour, IN, where he died on September 14, 2002.

Keywords: CARDIOVASC SYSTEM, HEART, BLOOD CLOT, WORK RULES, LADDER, SLIP, CRUSHED, FALL, FOOT

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	305202665			Fatality	Fracture	Machinery maintenance occupations

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