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Inspection Detail
Inspection: 315247874 - Wisconsin Plastic Drain Tile Corp.
Inspection Information - Office: Iowa 0751910
Site Address:
Wisconsin Plastic Drain Tile Corp.
2530 Benson/Shady Grove Road
Jesup, IA 50648
Mailing Address:
201 W. Plymouth Street, Jefferson, WI 53549
Union Status: NonUnion
SIC:3084
NAICS: 326122/Plastics Pipe and Pipe Fitting Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 03/01/2011
Emphasis:
Case Closed: 04/20/2012
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 100522242 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 4 | 2 | 6 | |||
| Current Violations | 4 | 2 | 6 | |||
| Initial Penalty | $1,500 | $0 | $0 | $1,000 | $0 | $2,500 |
| Current Penalty | $1,500 | $0 | $0 | $1,000 | $0 | $2,500 |
| 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 | 19100178 A04 | 03/09/2011 | 04/25/2011 | $375 | $375 | $0 | - | ||
| 2. | 01002 | Serious | 19100178 A05 | 03/09/2011 | 04/25/2011 | $375 | $375 | $0 | - | ||
| 3. | 01003 | Serious | 19100178 L01 I | 03/09/2011 | 04/25/2011 | $375 | $375 | $0 | - | ||
| 4. | 01004A | Serious | 19100178 M05 III | 03/09/2011 | 04/25/2011 | $375 | $375 | $0 | - | ||
| 5. | 01004B | Serious | 19100178 Q07 | 03/09/2011 | 04/25/2011 | $0 | $0 | $0 | - | ||
| 6. | 02001 | Other | 19040039 A | 03/09/2011 | 04/25/2011 | $1,000 | $1,000 | $0 | - | ||
| 7. | 02002 | Other | 19040040 A | 03/09/2011 | 04/25/2011 | $0 | $0 | $0 | - |
Investigation Summary
On January 17, 2011, Employee #1, a truck driver with a plastic drain tile manufacturer, had just unloaded at a customer's site. While leaving the site, his tractor-trailer became stuck in the snow on a slight grade of approximately 5 degrees. Employee #1 then proceeded to get his employers rough terrain forklift (JI Case Construction King Model Number 585E 4x4, Serial Number JJG068935). He backed the forklift up to the front of the truck, dismounted, and was passing a chain through a hole in the bumper, towards the tow hooks. Employee #1 was on his knees with his back towards the forklift when it either rolled or slid on the snow. A coworker found Employee #1 unresponsive and pinned between the front bumper of the truck and the counterweight of the forklift. The coworker moved the forklift to free Employee #1 and then summoned emergency responders. Employee #1 was transported to the Buchanan County Medical Center, where he was pronounced dead. The coworker stated the forklift's parking brake was not engaged when he found Employee #1.
Keywords: ASPHYXIATED, BRAKE, PINNED, CRUSHED, INDUSTRIAL TRUCK, TRUCK, SLOPE, INATTENTION, TRUCK DRIVER
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 315247874 | Fatality | Asphyxia | Occupation not reported |