Inspection Detail

Inspection: 123980377 - Custom Form Manufacturing, Inc.

Inspection Information - Office: Indiana Department Of Labor

Inspection Nr: 123980377

Report ID: 0551800

Date Opened: 01/23/1997

Site Address:
Custom Form Manufacturing, Inc.
19960 Co. Rd. 8
Bristol, IN 46507

Mailing Address:
2100 Industrial Parkway, Elkhart, IN 46516

Union Status: NonUnion

SIC:3714

NAICS: 0

Inspection Type: Planned

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 01/23/1997

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 11/06/1997

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	4			5		9
Current Violations	3			6		9
Initial Penalty	$4,000	$0	$0	$0	$0	$4,000
Current Penalty	$1,045	$0	$0	$0	$0	$1,045
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	Latest Event
1.	01001A	Serious	19100219 D01	02/26/1997	03/06/1997	$350	$1,000	$0	I - Informal Settlement
2.	01001B	Serious	19100219 E01 I	02/26/1997	03/06/1997	$0	$0	$0	-
3.	01002	Other	19100219 F03	02/26/1997	03/06/1997	$0	$1,000	$0	I - Informal Settlement
4.	01003	Serious	19100303 G02 I	02/26/1997	03/02/1997	$435	$1,250	$0	I - Informal Settlement
5.	01004	Serious	19101200 H	02/26/1997	03/16/1997	$260	$750	$0	I - Informal Settlement
6.	02001	Other	19100151 C	02/26/1997	03/16/1997	$0	$0	$0	-
7.	02002	Other	19100178 P01	02/26/1997	03/06/1997	$0	$0	$0	-
8.	02003	Other	19100178 Q07	02/26/1997	03/06/1997	$0	$0	$0	-
9.	02004	Other	19100242 B	02/26/1997	03/02/1997	$0	$0	$0	-
10.	02005	Other	19101200 E01 I	02/26/1997	03/16/1997	$0	$0	$0	-

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