Inspection Detail

Inspection: 307750893 - U P Special Delivery Inc

Inspection Information - Office: Miosha General Industry Safety & Health Division

Inspection Nr: 307750893

Report ID: 0552652

Date Opened: 08/01/2005

Site Address:
U P Special Delivery Inc
820 Terminal Ave
Iron Mountain, MI 49801

Mailing Address:
Po Box 207, Iron Mountain, MI 49801

Union Status: NonUnion

SIC:4213

NAICS: 484121/ General Freight Trucking, Long-Distance, Truckload

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/06/2005

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 12/19/2005

Related Activity
Type	Activity Nr	Safety	Health
Accident	101398840

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	3					3
Current Violations	3					3
Initial Penalty	$1,750	$0	$0	$0	$0	$1,750
Current Penalty	$1,050	$0	$0	$0	$0	$1,050
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	Latest Event
1.	01001	Serious	40812138 C	10/14/2005	11/01/2005	$315	$525	$0	I - Informal Settlement
2.	01002	Serious	40812173	10/14/2005	11/01/2005	$315	$525	$0	I - Informal Settlement
3.	01003	Serious	4081215401	10/14/2005	11/01/2005	$420	$700	$0	I - Informal Settlement

Investigation Summary

Investigation Nr: 201391075

Event: 07/28/2005

Employee dies while operating forklift

On July 28, 2005, Employee #1 was operating a forklift truck. As the forklift picked up a skid of material, he reached through the mast and received a head injury. He was transported to a medical center. After eleven days, his life support was removed, and he was pronounced dead.

Keywords: STRUCTURE MOVING, HEAD, INDUSTRIAL TRUCK, STRUCK BY

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	307750893			Fatality	Other	Occupation not reported

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