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Inspection Detail

Inspection: 307528448 - Pavestone Company

Inspection Information - Office: Denver Area Office

 

Inspection Nr: 307528448
Report ID: 0830500
Date Opened: 02/15/2005

Site Address:
Pavestone Company
9401 E 96th Ave
Henderson, CO 80640

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:3271

NAICS: 327331/Concrete Block and Brick Manufacturing

Inspection Type: Accident

Scope: Partial

Advanced Notice: Y

Ownership: Private

Safety/Health: Safety

Close Conference: 02/21/2005

Emphasis: L:Concrete

Case Closed: 08/15/2005

Related Activity
Type Activity Nr Safety Health
Accident 101573541
Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 3 3
Current Violations 1 2 3
Initial Penalty $11,275 $0 $0 $0 $0 $11,275
Current Penalty $5,000 $0 $0 $5,000 $0 $10,000
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 Contest Latest Event Note
1. 01001 Other 19100132 D01 06/09/2005 07/06/2005 $1,148 $1,275 $0 I - Informal Settlement  
2. 01002 Serious 19100178 N06 06/09/2005 07/06/2005 $5,000 $5,000 $0 I - Informal Settlement  
3. 01003 Other 19100178 P01 06/09/2005 07/06/2005 $3,852 $5,000 $0 I - Informal Settlement  

Investigation Summary

Investigation Nr: 201572823
Event: 02/15/2005
Employee Is Killed When Struck by Forklift

At approximately 12:55 a.m. on February 15, 2005, a packaging employee was shrink-wrapping pallets of concrete pavers at the Pavestone Company, Number 75 plant in Henderson, CO. She placed two stickers on the pallets; one sticker was the company logo, and the other was a product description with a bar code. The employee worked adjacent to the gravity feed roller conveyor system on the exterior of the facility. A forklift (Linde Model Number H40D-04, Serial Number H2X352N018940) that had returned to the conveyor line to load palletized concrete pavers struck her. The forklift's fork struck her in the torso (mid-section), causing serious injury that resulted in her death.

Keywords: VEHICLE, INADEQUATE MAINT, TORSO, INDUSTRIAL TRUCK, STRUCK BY, INATTENTION, PUNCTURE

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 307528448 Fatality Other Occupation not reported
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