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Inspection Detail
Inspection: 307528448 - Pavestone Company
Inspection Information - Office: Denver Area Office
Site Address:
Pavestone Company
9401 E 96th Ave
Henderson, CO 80640
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:3271
NAICS: 327331/Concrete Block and Brick Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: Y
Ownership: Private
Safety/Health: Safety
Close Conference: 02/21/2005
Emphasis: L:Concrete
Case Closed: 08/15/2005
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101573541 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 1 | 2 | 3 | |||
| Initial Penalty | $11,275 | $0 | $0 | $0 | $0 | $11,275 |
| Current Penalty | $5,000 | $0 | $0 | $5,000 | $0 | $10,000 |
| 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 | Other | 19100132 D01 | 06/09/2005 | 07/06/2005 | $1,148 | $1,275 | $0 | I - Informal Settlement | ||
| 2. | 01002 | Serious | 19100178 N06 | 06/09/2005 | 07/06/2005 | $5,000 | $5,000 | $0 | I - Informal Settlement | ||
| 3. | 01003 | Other | 19100178 P01 | 06/09/2005 | 07/06/2005 | $3,852 | $5,000 | $0 | I - Informal Settlement |
Investigation Summary
At approximately 12:55 a.m. on February 15, 2005, a packaging employee was shrink-wrapping pallets of concrete pavers at the Pavestone Company, Number 75 plant in Henderson, CO. She placed two stickers on the pallets; one sticker was the company logo, and the other was a product description with a bar code. The employee worked adjacent to the gravity feed roller conveyor system on the exterior of the facility. A forklift (Linde Model Number H40D-04, Serial Number H2X352N018940) that had returned to the conveyor line to load palletized concrete pavers struck her. The forklift's fork struck her in the torso (mid-section), causing serious injury that resulted in her death.
Keywords: VEHICLE, INADEQUATE MAINT, TORSO, INDUSTRIAL TRUCK, STRUCK BY, INATTENTION, PUNCTURE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 307528448 | Fatality | Other | Occupation not reported |