Inspection Detail

Inspection: 309996882 - Sterling Business Forms Inc

Inspection Information - Office: Dosh Spokane Service Location, Spokane, Wa

Inspection Nr: 309996882

Report ID: 1055360

Date Opened: 05/09/2006

Site Address:
Sterling Business Forms Inc
E 13110 Indiana
Spokane, WA 99216

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:2761

NAICS: 323116/Manifold Business Forms Printing

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/07/2006

Emphasis: L:Wasafety

Case Closed: 12/31/2006

Related Activity
Type	Activity Nr	Safety	Health
Accident	101199388

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations	2					2
Initial Penalty	$1,100	$0	$0	$0	$0	$1,100
Current Penalty	$1,100	$0	$0	$0	$0	$1,100
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	0240096002	09/21/2006	05/12/2006	$550	$550	$0		-
2.	01002	Serious	0240096009 B	09/21/2006	05/12/2006	$550	$550	$0		-

Investigation Summary

Investigation Nr: 202365821

Event: 05/09/2006

Employee Is Electrocuted Working on Plate Press Burner

At approximately 9:00 a.m. on May 9, 2006 Employee #1 working for Sterling Business Forms Inc. was electrocuted while working on a plate press burner, which is used to make business forms. He died.

Keywords: ELECTROCUTED

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	309996882			Fatality	Amputation	Occupation not reported

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