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Inspection Detail

Case Status: CLOSED
Inspection: 1241823.015 - 106177 - Modern Materials Inc

Inspection Information - Office: Indiana

Nr: 1241823.015Report ID: 0551800Open Date: 05/31/2017

106177 - Modern Materials Inc
435 North State Road 25
Rochester, IN 46975
Union Status: NonUnion
SIC: 3479/Coating, Engraving, and Allied Services, Not Elsewhere Classified
NAICS: 332812/ Metal Coating, Engraving (except Jewelry and Silverware), and Allied Services to Manufacturers
Mailing: 435 North State Road 25, Rochester, IN 46975

Inspection Type:Fat/Cat
Scope:Partial Advanced Notice:N
Ownership:Private
Safety/Health:Safety Close Conference:05/31/2017
Close Case:01/25/2019

Related Activity:TypeIDSafetyHealth
 Accident1220766    
Case Status: CLOSED

Violation Summary
Serious Willful Repeat Other Unclass Total
Initial Violations 4 1 5
Current Violations 3 1 4
Initial Penalty $28,000 $0 $0 $500 $0 $28,500
Current Penalty $10,500 $0 $0 $0 $0 $10,500
FTA Amount $0 $0 $0 $0 $0 $0

Violation Items
# ID Type Standard Issuance Abate Curr$ Init$ Fta$ Contest LastEvent
  1. 01001 Serious 22.8(1)(1)(SEC2) 10/11/2017 01/25/2018 $3,500 $7,000 $0 I - Informal Settlement
  2. 01002 Serious 19100178 L04 III 10/11/2017 11/14/2017 $3,500 $7,000 $0 I - Informal Settlement
Deleted 3. 01003 Serious 19100178 N06 10/11/2017 11/14/2017 $0 $7,000 $0 I - Informal Settlement
  4. 01004 Serious 19100178 Q06 10/11/2017 01/25/2018 $3,500 $7,000 $0 I - Informal Settlement
  5. 02001 Other 19040039 A02 10/11/2017 11/14/2017 $0 $500 $0 I - Informal Settlement

Accident Investigation Summary
Summary Nr: 96571.015Event: 05/30/2017Employee Is Struck By Fork Lift And Later Dies From Injuries
At 10:01 a.m. on May 30, 2017, an employee was struck by a forklift as it was backing out of a truck that was being loaded with wooden pallets. The driver backed out of a truck at the dock, turned, and struck the employee, sending him to the ground. The employee sustained multiple injuries to his left leg, knee, and foot. On May 30, 2017 at 5:30 am, the employee died at home. It was reported that his lungs filled with fluid and he suffered a heart attack.
Keywords: struck by, heart attack, powered industrial vehicle
Inspection Degree Nature Occupation
1 1241823.015 Fatality Other Occupation not reported

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