Violation Detail
Standard Cited: 19040029 B02 Forms.
This violation item has been deleted.
Inspection Nr: 106940.015
Citation: 03001
Citation Type: Other
Abatement Date: 04/20/2012
Initial Penalty: $600.00
Current Penalty: $0.00
Issuance Date: 03/21/2012
Nr Instances: 1
Nr Exposed: 1
Related Event Code (REC):
Gravity:
Report ID: 0521400
Contest Date:
Final Order: 04/05/2012
Emphasis:
| Type | Latest Event | Event Date | Penalty | Abatement Due Date | Citation Type | Failure to Abate Inspection |
|---|---|---|---|---|---|---|
| Penalty | I: Informal Settlement | 04/05/2012 | $0.00 | 04/20/2012 | Other | |
| Penalty | Z: Issued | 03/21/2012 | $600.00 | 04/20/2012 | Other |
Text For Citation: 03 Item/Group: 001 Hazard:
29 CFR 1904.29(b)(2): The employer did not fill out or correctly fill out an OSHA Form 301 or equivalent for each recordable injury or illness. On or about September 22, 2011, the employer did not use an equivalent form as the OSHA Form 301 to document a work related injury. The Supervisor's Injury Investigation/Loss Source Identification form did not collect and record the following information as collected on the OSHA 301: 1. Employee's address, date of birth, date hired, and gender; 2. The name of the treating health care professional, treatment facility name and address; 3. If the employee was treated in the emergency room; 4. If the employee was hospitalized overnight as an in-patient; 5. A description of what the employee was doing just before the incident occured; 6. A description of what happend that lead to the incident. In accordance with 29 CFR 1903.19(d), abatement documentation is required for this item.
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