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Inspection Detail
Inspection: 307518274 - Gold Signature Foods, Llc
Inspection Information - Office: Nc Department Of Labor - Charlotte
Site Address:
Gold Signature Foods, Llc
2701 Simpson Street
Monroe, NC 28112
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:2038
NAICS: 311412/Frozen Specialty Food Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 03/12/2004
Planning Guide: Health-Manufacturing
Emphasis: S:Program Improvements
Case Closed: 04/22/2004
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102094034 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Other | 19100178 Q07 | 04/15/2004 | 04/23/2004 | $0 | $0 | $0 | - |
Investigation Summary
On February 22, 2004, Employee #1 was operating a forklift. She raised the load striking an overhead light fixture. The bulbs were knocked out, and Employee #1 attempted to replace them. The load was removed, and Employee #1 stood on the forks. She was raised by a co-worker, and her head was caught between the forklift's backrest extension and the ceiling. Employee #1 was killed.
Keywords: FRACTURE, HEAD, CEILING, LIGHTING FIXTURE, CAUGHT BETWEEN, INDUSTRIAL TRUCK
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 307518274 | Fatality | Fracture | Occupation not reported |