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Inspection Detail
Inspection: 1204316.015 - Schwarz Paper Company Llc
Inspection Information - Office: Tennessee Osha Jackson Office - Safety
Site Address:
Schwarz Paper Company Llc
4931 Denton Fly Road
Milan, TN 38358
Mailing Address:
4931 Denton Fly Road, Milan, TN 38358
Union Status: NonUnion
SIC:
NAICS: 493110/General Warehousing and Storage
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 01/20/2017
Emphasis:
Case Closed: 03/28/2017
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1174595 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $3,200 | $0 | $3,200 |
| Current Penalty | $0 | $0 | $0 | $3,200 | $0 | $3,200 |
| 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 | TDLWD RULE 800-01-03-.03(27)(B)1 | 02/10/2017 | 03/07/2017 | $3,200 | $3,200 | $0 | I - Informal Settlement |
Investigation Summary
At 8:30 p.m. on January 18, 2017, Employee #1 was operating a Raymond Counterbalance Stand Up Forklift, Model number 425-C30TT. The employee was attempting to slow the forklift down by using the deadman foot switch and lost his balance. As he lost his balance, the employee's arm hit the steering device, causing the forklift to veer to one side, striking the racking system.The employee's momentum threw him out of the operator's compartment and the forklift ran over his foot, causing a partial amputation to his foot.
Keywords: Amputation, Deadman Control, Foot, Lost Balance, Powered Industrial Vehicle, Run Over, Struck By
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1204316.015 | 31 | M | Hospitalized injury | Industrial truck and tractor equipment operators |