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Inspection Detail
Inspection: 310527072 - A.E. Sampson & Sons Ltd
Inspection Information - Office: Augusta Area Office
Inspection Nr: 310527072
Report ID: 0111100
Date Opened: 12/22/2006
Site Address:
A.E. Sampson & Sons Ltd
171 Camden Road
Warren, ME 04864
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:2499
NAICS: 321999/All Other Miscellaneous Wood Product Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 03/22/2007
Emphasis: S:Struck-By
Case Closed: 04/26/2007
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102237492 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $3,600 | $0 | $0 | $0 | $0 | $3,600 |
| Current Penalty | $3,600 | $0 | $0 | $0 | $0 | $3,600 |
| 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 | Serious | 5A0001 | 04/10/2007 | 04/16/2007 | $2,100 | $2,100 | $0 | - | ||
| 2. | 01002 | Serious | 19100178 L04 III | 04/10/2007 | 04/23/2007 | $1,500 | $1,500 | $0 | - |
Investigation Summary
Investigation Nr: 202220588
Event: 12/21/2006
Employee Is Killed When Struck and Pinned by Forklift
On December 21, 2006, Employee #1 was struck, pinned, and killed by a forklift when it was accidentally placed in the wrong gear.
Keywords: ABDOMEN, VEHICLE IN GEAR, PINNED, INDUSTRIAL TRUCK, MECH MAT HANDLING, STRUCK BY
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 310527072 | Fatality | Other | Occupation not reported |