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Inspection Detail

Inspection: 315247874 - Wisconsin Plastic Drain Tile Corp.

Inspection Information - Office: Iowa 0751910

 

Inspection Nr: 315247874
Report ID: 0751910
Date Opened: 01/19/2011

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

Related Activity
Type Activity Nr Safety Health
Accident 100522242
Violation Summary
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

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 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

Investigation Nr: 200534006
Event: 01/17/2011
Employee Is Killed When Pinned Between Forklift and Truck

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

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 315247874 Fatality Asphyxia Occupation not reported
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