Inspection Detail

Case Status: CLOSED

Inspection: 1413429.015 - L J'S Welding And Fabrication Inc

Inspection Information - Office: Iowa 0751910

Inspection Nr: 1413429.015

Report ID: 0751910

Date Opened: 06/28/2019

Site Address:
L J'S Welding And Fabrication Inc
141 Center St
Waterloo, IA 50703

Mailing Address:
141 Center St, Waterloo, IA 50703

Union Status: NonUnion

SIC:

NAICS: 332311/Prefabricated Metal Building and Component Manufacturing

Inspection Type: Complaint

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 06/28/2019

Emphasis:

Case Closed: 04/02/2020

Related Activity
Type	Activity Nr	Safety	Health
Complaint	1467868	Yes	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	5					5
Current Violations	2			3		5
Initial Penalty	$9,470	$0	$0	$0	$0	$9,470
Current Penalty	$1,894	$0	$0	$2,841	$0	$4,735
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	Latest Event	Note
1.	01001	Serious	5A0001	12/20/2019	03/13/2020	$947	$1,894	$0	I - Informal Settlement
2.	01002A	Serious	19100134 C01	12/20/2019	03/31/2020	$947	$1,894	$0	I - Informal Settlement
3.	01002B	Serious	19100094 A05 IV	12/20/2019		$0	$0	$0	I - Informal Settlement	Citation has been deleted.
4.	01002C	Serious	19100134 E01	12/20/2019	03/31/2020	$0	$0	$0	I - Informal Settlement
5.	01002D	Other	19100134 H02 I	12/20/2019		$0	$0	$0	I - Informal Settlement
6.	01002E	Serious	19100134 I05 IV	12/20/2019		$0	$0	$0	I - Informal Settlement
7.	01002F	Other	19100134 K	12/20/2019	03/31/2020	$0	$0	$0	I - Informal Settlement
8.	01003	Other	19100178 L01 II	12/20/2019	02/24/2020	$947	$1,894	$0	I - Informal Settlement
9.	01004	Other	19101053 D01	12/20/2019		$947	$1,894	$0	I - Informal Settlement
10.	01005A	Other	19101053 J01	12/20/2019		$947	$1,894	$0	I - Informal Settlement
11.	01005B	Serious	19101200 E01	12/20/2019	02/24/2020	$0	$0	$0	I - Informal Settlement
12.	01005C	Other	19101053 J02	12/20/2019		$0	$0	$0	I - Informal Settlement
13.	01005D	Other	19101053 J03 I	12/20/2019		$0	$0	$0	I - Informal Settlement
14.	01005E	Serious	19101200 G01	12/20/2019	03/13/2020	$0	$0	$0	I - Informal Settlement

Investigation Summary

Investigation Nr: 117717.015

Event: 06/28/2019

Employee suffers forearm laceration from fall

At 12:00 noon on June 28, 2019, an employee was walking around in the paint building where multiple parts were on the floor waiting to be painted. The employee tripped over one of the parts and fell into the edge of the open paint booth door. The employee suffered a laceration to his right forearm. The employee was hospitalized for treatment.

Keywords: Fall, Forearm, Laceration, Obstructed Egress, Tripped, Walking Surface

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1413429.015	53	M	Hospitalized injury		Laborers, except construction

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