Inspection Detail

Inspection: 306520636 - Mid-Park Inc.

Inspection Information - Office: Ky Labor Cabinet Division Of Osh Compliance

Inspection Nr: 306520636

Report ID: 0452110

Date Opened: 08/15/2003

Site Address:
Mid-Park Inc.
3645 Elizabethtown Road
Clarkson, KY 42726

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:3444

NAICS: 332321/Metal Window and Door Manufacturing

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 08/21/2003

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 05/26/2004

Related Activity
Type	Activity Nr	Safety	Health
Accident	101866945

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	$3,500	$0	$0	$0	$0	$3,500
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	19100244 A02 III	09/15/2003	08/15/2003	$3,500	$3,500	$0	09/26/2003	F - Formal Settlement

Investigation Summary

Investigation Nr: 201856440

Event: 08/15/2003

Employee is killed when crushed by forklift

At approximately 9:15 a.m. on August 15, 2003, Employee #1, a maintenance worker, was changing out the starter on an 8,050-pound forklift industrial truck. Using a jack with a rated capacity of 7,000 pounds, he jacked up the rear end of the forklift approximately 13 inches off the ground. He did not block the wheels on the forklift and, while he was removing the nuts and bolts, the forklift fell on his head, killing him.

Keywords: CHOCK, MAINTENANCE, REPAIR, EQUIPMENT FAILURE, CRUSHED, INDUSTRIAL TRUCK, STRUCK BY, JACK

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	306520636			Fatality	Concussion	Machinery maintenance occupations

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