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Inspection Detail
Inspection: 1512764.015 - Forest River Inc
Inspection Information - Office: Miosha General Industry Safety & Health Division
Site Address:
Forest River Inc
31450 M 86 W
Colon, MI 49040
Mailing Address:
31450 M 86 W, Colon, MI 49040
Union Status: NonUnion
SIC:
NAICS: 441210/Recreational Vehicle Dealers
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 02/02/2021
Emphasis: N:Amputate, S:Injury/Illness
Case Closed: 04/08/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1718383 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $4,200 | $0 | $0 | $0 | $0 | $4,200 |
| Current Penalty | $2,100 | $0 | $0 | $0 | $0 | $2,100 |
| 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 | Serious | 408.10015(1) | 03/04/2021 | $2,100 | $4,200 | $0 | I - Informal Settlement |
Investigation Summary
At 5:15 a.m. on August 24, 2020, an employee was unloading fiberglass sheets to be laminated. The employee pulled one and placed it above his head to inspect it, when the other 26 fiberglass sheets fell on him and pushed him over. The employee was hospitalized to treat a head injury and concussion.
Keywords: Concussion, Fall, Fall On Same Level, Falling Object, Fiberglass, Head, Inspecting, Struck By, Unloading
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1512764.015 | 37 | M | Hospitalized injury |