Inspection Detail

Inspection: 310642624 - Blazer Industries Inc

Inspection Information - Office: Or-E-Salem 1054100

Inspection Nr: 310642624

Report ID: 1054113

Date Opened: 05/15/2007

Site Address:
Blazer Industries Inc
945 Olney Rd
Aumsville, OR 97325

Mailing Address:
Po Box 489, Aumsville, OR 97325

Union Status: NonUnion

SIC:2451

NAICS: 321991/Manufactured Home (Mobile Home) Manufacturing

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 07/26/2007

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 12/31/2007

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	3					3
Current Violations	2					2
Initial Penalty	$1,500	$0	$0	$0	$0	$1,500
Current Penalty	$1,000	$0	$0	$0	$0	$1,000
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	Note
1.	01001	Serious	19100178 L03 IID	08/03/2007	08/08/2007	$500	$500	$0	08/15/2007	L - State Settlement
2.	01002	Serious	19100178 M03	08/03/2007	08/08/2007	$500	$500	$0	08/15/2007	L - State Settlement
3.	01003	Serious	19100178 A04	08/03/2007	08/08/2007	$0	$500	$0	08/15/2007	L - State Settlement	Citation has been deleted.

Investigation Summary

Investigation Nr: 201613403

Event: 05/10/2007

Employee's Ankle Is Fractured When Struck by Forklift

At approximately 7:30 a.m. on May 10, 2007, Employee #1 was acting as a spotter for moving a mobile home at a plant site. The forklift operator used Employee #1 to help back him through the yard. When they came to a point to make a turn the operator was distracted by another employee coming up to him on the opposite side of the forklift and speaking to him. Instead of looking back to Employee #1 when he finished his conversation, the operator started without warning in a forward movement. Employee #1 was struck by the right rear tire of the forklift which ran up his right leg, fracturing his ankle and leg. Employee #1 was hospitalized.

Keywords: FRACTURE, INDUSTRIAL TRUCK, STRUCK BY, ANKLE, INATTENTION, LEG

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	310642624			Hospitalized injury	Fracture	Laborers, except construction

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