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Inspection Detail
Inspection: 307551531 - Dealer Supply Company, Inc.
Inspection Information - Office: Nc Department Of Labor - Raleigh
Inspection Nr: 307551531
Report ID: 0453710
Date Opened: 06/28/2004
Site Address:
Dealer Supply Company, Inc.
900 Mattress Factory Road
Mebane, NC 27302
Mailing Address:
P. O. Box 2628, Durham, NC 27715
Union Status: NonUnion
SIC:5713
NAICS: 442210/Floor Covering Stores
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 06/28/2004
Planning Guide: Safety-Manufacturing
Emphasis:
Case Closed: 12/07/2004
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 100355809 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $350 | $0 | $0 | $0 | $0 | $350 |
| Current Penalty | $350 | $0 | $0 | $0 | $0 | $350 |
| 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. | 01001A | Serious | 19100304 F04 | 10/22/2004 | 10/27/2004 | $350 | $350 | $0 | - | ||
| 2. | 01001B | Serious | 19100305 B01 | 10/22/2004 | 11/18/2004 | $0 | $0 | $0 | - |
Investigation Summary
Investigation Nr: 200353621
Event: 08/22/2003
Employee dies after being struck by forklift
On August 22, 2003, Employee #1 was struck by forklift. He died on June 19, 2004, without regaining consciousness.
Keywords: UNCONSCIOUSNESS, INDUSTRIAL TRUCK, STRUCK BY
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 307551531 | Fatality | Other | Laborers, except construction |