Inspection Detail

Inspection: 308262575 - Industrial Packaging Corporation

Inspection Information - Office: Iowa 0751910

Inspection Nr: 308262575

Report ID: 0751910

Date Opened: 12/02/2005

Site Address:
Industrial Packaging Corporation
1500 W. 5th Street
Wilton, IA 52778

Mailing Address:
P.O. Box 448, Wilton, IA 52778

Union Status: NonUnion

SIC:2653

NAICS: 322211/Corrugated and Solid Fiber Box Manufacturing

Inspection Type: Accident

Scope: Partial

Advanced Notice: Y

Ownership: Private

Safety/Health: Safety

Close Conference: 01/12/2006

Emphasis: S:Fatality Catastrophe

Case Closed: 08/14/2006

Related Activity
Type	Activity Nr	Safety	Health
Accident	100520964
Referral	200526317	Yes

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	3					3
Current Violations	3					3
Initial Penalty	$10,500	$0	$0	$0	$0	$10,500
Current Penalty	$5,000	$0	$0	$0	$0	$5,000
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
1.	01001	Serious	19100244 A02 III	01/25/2006	05/25/2006	$2,500	$3,500	$0	02/17/2006	F - Formal Settlement
2.	01002	Serious	19100244 A01 IV	01/25/2006	05/25/2006	$0	$3,500	$0	02/17/2006	F - Formal Settlement
3.	01003	Serious	19100244 A02 VI	01/25/2006	05/25/2006	$2,500	$3,500	$0	02/17/2006	F - Formal Settlement

Investigation Summary

Investigation Nr: 200530186

Event: 12/02/2005

Forklift Falls Off Floor Jack and Kills Employee

Employee #1 was working on a fork truck when the floor jack he was using malfunctioned and the fork truck fell on him. Employee #1 died on the scene.

Keywords: FRACTURE, HEAD, REPAIR, MECHANIC, STRUCK AGAINST, EQUIPMENT FAILURE, INDUSTRIAL TRUCK, FALLING OBJECT, JACK

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	308262575			Fatality	Fracture	Helpers, mechanics and repairers

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