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Inspection Detail

Inspection: 312091119 - Kz R.V. Corporation

Inspection Information - Office: Indiana Department Of Labor

 

Inspection Nr: 312091119
Report ID: 0551800
Date Opened: 09/19/2008

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


Related Activity
Type Activity Nr Safety Health
Accident 100992296
Violation Summary
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

Violation Items
# 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

Investigation Nr: 200997229
Event: 09/08/2008
Employee Losses Balance, Falls and Dies Later

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

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 312091119 Fatality Concussion Industrial truck and tractor equipment operators
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