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UNITED STATES
DEPARTMENT OF LABOR

Occupational Safety and Health Administration OSHA

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Inspection Detail

Case Status: CLOSED
Inspection: 1437384.015 - Jeff Bultman

Inspection Information - Office: Iowa
Nr: 1437384.015Report ID: 0751910Open Date: 10/09/2019
Jeff Bultman
28279 130th Streetnull
Le Mars, IA 51031 		Union Status: NonUnion
SIC:
NAICS: 112210/Hog and Pig Farming
Mailing: 1612 Ave Fnull, Hawarden, IA 51023
Inspection Type:Fat/Cat
Scope:Partial Advanced Notice:N
Ownership:Private
Safety/Health:Safety Close Conference:10/09/2019
Close Case:04/02/2020
Related Activity:TypeIDSafetyHealth
 Accident1537816    
 Referral1504639 Yes  
 Inspection1437396 Yes  
Case Status: CLOSED

Violation Summary
Serious Willful Repeat Other Unclass Total
Initial Violations 1 1
Current Violations 1 1
Initial Penalty $2,651 $0 $0 $0 $0 $2,651
Current Penalty $2,000 $0 $0 $0 $0 $2,000
FTA Amount $0 $0 $0 $0 $0 $0

Violation Items
# ID Type Standard Issuance Abate Curr$ Init$ Fta$ Contest LastEvent
  1. 01001A Serious 19101200 E01 02/10/2020 03/30/2020 $2,000 $2,651 $0 I - Informal Settlement
  2. 01001B Serious 19101200 G08 02/10/2020 03/30/2020 $0 $0 $0 I - Informal Settlement
  3. 01001C Serious 19101200 H01 02/10/2020 03/30/2020 $0 $0 $0 I - Informal Settlement

Accident Investigation Summary
Summary Nr: 120663.015Event: 09/30/2019Employee Sustains Burns From Fire, Later Dies
At 5:00 p.m. on September 30, 2019, an employee was sitting alongside a Master B laster Power Washer located in a box truck while having lunch. The employee suf fered burns over 80 percent of his body when he caught on fire from undetermined causes. The employee was hospitalized and later died from his sustained injuri es.
Keywords: burn, fire
Inspection Degree Nature Occupation
1 1437384.015 Fatality Laborers, except construction

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