Inspection Detail

Inspection: 305536427 - Pete'S R.V. Center Aka Pete'S Trailer Mart

Inspection Information - Office: Vt Department Of Labor - Vosha

Inspection Nr: 305536427

Report ID: 0155010

Date Opened: 06/16/2004

Site Address:
Pete'S R.V. Center Aka Pete'S Trailer Mart
4016 Williston Road
South Burlington, VT 05403

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:5012

NAICS: 423110/Automobile and Other Motor Vehicle Merchant Wholesalers

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 08/10/2004

Planning Guide: Safety-Manufacturing

Emphasis: S:Amputations

Case Closed: 06/01/2005

Related Activity
Type	Activity Nr	Safety	Health
Accident	102061389

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations	1					1
Initial Penalty	$8,400	$0	$0	$0	$0	$8,400
Current Penalty	$4,200	$0	$0	$0	$0	$4,200
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	30223 A	08/17/2004	08/23/2004	$0	$4,200	$0	09/08/2004	R - Review Commission	Citation has been deleted.
2.	01002	Serious	19100178 A04	08/17/2004	08/23/2004	$4,200	$4,200	$0	09/08/2004	R - Review Commission

Investigation Summary

Investigation Nr: 202044988

Event: 06/15/2004

Fork Lift Rolls Over And Pins And Kills Employee

Employee #1 was killed when the forklift he was operating rolled over and crushed him. Employee #1 was not wearing seatbelts.

Keywords: CRUSHED, INDUSTRIAL TRUCK, SEAT BELT, OVERTURN

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	305536427			Fatality	Other	Occupation not reported

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