Inspection Detail

Inspection: 317080927 - Prince Manufacturing Corporation North Carolina

Inspection Information - Office: Nc Department Of Labor - Winston-Salem

Inspection Nr: 317080927

Report ID: 0453720

Date Opened: 05/08/2013

Site Address:
Prince Manufacturing Corporation North Carolina
209 Broadpointe Drive
Mills River, NC 28759

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:3471

NAICS: 332813/ Electroplating, Plating, Polishing, Anodizing, and Coloring

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 05/22/2013

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 10/01/2013

Related Activity
Type	Activity Nr	Safety	Health
Accident	100076645

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations	2					2
Initial Penalty	$11,200	$0	$0	$0	$0	$11,200
Current Penalty	$9,520	$0	$0	$0	$0	$9,520
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	19100176 A	08/20/2013	08/30/2013	$4,760	$5,600	$0		I - Informal Settlement
2.	01002	Serious	19100178 L04 I	08/20/2013	08/30/2013	$4,760	$5,600	$0		I - Informal Settlement

Investigation Summary

Investigation Nr: 200075315

Event: 05/06/2013

Employee Gets Struck by Forklift and Injures His Leg

On May 6, 2013, Employee #1 of Prince Manufacturing Corporation North Carolina was struck by a stand up forklift and sustained serious injuries to his left lower leg.

Keywords: INDUSTRIAL TRUCK, STRUCK BY, LEG

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	317080927			Hospitalized injury	Other	Occupation not reported

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