Inspection Detail

Inspection: 306003484 - Supreme Corp.

Inspection Information - Office: Indiana Department Of Labor

Inspection Nr: 306003484

Report ID: 0551800

Date Opened: 02/07/2003

Site Address:
Supreme Corp.
2581 East Kercher Road
Goshen, IN 46526

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:3713

NAICS: 336211/Motor Vehicle Body Manufacturing

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 02/28/2003

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 05/27/2003

Related Activity
Type	Activity Nr	Safety	Health
Accident	362662140

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations	1					1
Initial Penalty	$1,500	$0	$0	$0	$0	$1,500
Current Penalty	$1,500	$0	$0	$0	$0	$1,500
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	19100178 M02	04/04/2003	04/30/2003	$1,500	$1,500	$0	-
2.	01001B	Serious	19100178 P01	04/04/2003	04/30/2003	$0	$0	$0	-
3.	01001C	Serious	19100178 Q07	04/04/2003	04/30/2003	$0	$0	$0	-

Investigation Summary

Investigation Nr: 200993269

Event: 02/03/2003

Employee pinned by a fork truck and injured

On February 3, 2003, an employee of Supreme Corporation was using a fork truck to a load truck body onto a float bed trailer. He put the gear shift in neutral and set the emergency brake. The employee got off the fork truck and walked between the fork truck and trailer to position blocks to lower the truck body on. He was under the load. The fork truck rolled forward pinning the employee between the fork truck and trailer. The employee was hospitalized and treated for fractures.

Keywords: FRACTURE, PINNED, TRAILER TRUCK, INDUSTRIAL TRUCK

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	306003484			Hospitalized injury	Fracture	Industrial truck and tractor equipment operators

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