Translate
Inspection Detail
Inspection: 316956366 - Berlin Packaging
Inspection Information - Office: Arizona Division Of Occupational Safety And Health (Adosh)
Site Address:
Berlin Packaging
3949 W Van Buren St
Phoenix, AZ 85009
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:5099
NAICS: 423990/Other Miscellaneous Durable Goods Merchant Wholesalers
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 02/19/2013
Emphasis:
Case Closed: 08/30/2013
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101996726 | ||
| Referral | 201989621 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 3 | 3 | ||||
| Initial Penalty | $15,000 | $0 | $0 | $0 | $0 | $15,000 |
| Current Penalty | $11,250 | $0 | $0 | $0 | $0 | $11,250 |
| 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 | 19100132 D01 | 06/17/2013 | 07/11/2013 | $3,750 | $5,000 | $0 | I - Informal Settlement | ||
| 2. | 01002 | Serious | 19100132 F01 | 06/17/2013 | 07/11/2013 | $3,750 | $5,000 | $0 | I - Informal Settlement | ||
| 3. | 01003 | Serious | 19100178 L02 II | 06/17/2013 | 07/11/2013 | $3,750 | $5,000 | $0 | I - Informal Settlement |
Investigation Summary
At approximately 9:00 a.m. on February 18, 2013, Employee #1, a 45-year-old male with Berlin Packaging, was working from the elevated forks of a forklift when he lost his balance and fell approximately 14 ft. to the concrete floor below resulting in severe unspecified fracture injuries. Employee #1 was hospitalized as a result of this event.
Keywords: FRACTURE, INDUSTRIAL TRUCK, FALL, ELEVATED WORK PLAT, LOST BALANCE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 316956366 | Hospitalized injury | Fracture | Laborers, except construction |