Inspection Detail
Inspection: 312091119 - Kz R.V. Corporation
Inspection Information - Office: Indiana Department Of Labor
Site Address:
Kz R.V. Corporation
0985 North 900 West
Shipshewana, IN 46565
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:3799
NAICS: 336214/Travel Trailer and Camper Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/03/2008
Planning Guide: Safety-Manufacturing
Emphasis:
Case Closed: 11/19/2008
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 100992296 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $5,000 | $0 | $0 | $0 | $0 | $5,000 |
| Current Penalty | $2,500 | $0 | $0 | $0 | $0 | $2,500 |
| 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. | 01001A | Serious | 19100022 A01 | 10/22/2008 | 10/27/2008 | $2,500 | $2,500 | $0 | - | ||
| 2. | 01001B | Serious | 19100022 A03 | 10/22/2008 | 10/27/2008 | $0 | $0 | $0 | - | ||
| 3. | 01002 | Other | 19100023 C01 | 10/22/2008 | 10/27/2008 | $0 | $2,500 | $0 | I - Informal Settlement |
Investigation Summary
On September 8, 2008, Employee #1 was unloading a skid of ladders that were 10.4 ft wide, which is too wide to fit into the open space on the mezzanine on the east end. He reached for a falling box from the skid that he was attempting to unload on the mezzanine. The skid was in a cocked position preventing the gate from closing. In reaching for the falling box, he lost his balance, and fell head first over the open edge of the elevated storage area. The edge of the skid was sticking out over the edge of the storage area. He fell 8.83 ft and died ten days later in the hospital.
Keywords: HEAD, LADDER, STRUCK AGAINST, FALL, LOST BALANCE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 312091119 | Fatality | Concussion | Industrial truck and tractor equipment operators |
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