Inspection Detail

Case Status: CLOSED

Inspection: 1309182.015 - Clearspan Components, Inc.

Inspection Information - Office: Jackson Area Office

Inspection Nr: 1309182.015

Report ID: 0419400

Date Opened: 04/18/2018

Site Address:
Clearspan Components, Inc.
6110 Old Hwy 80 W
Meridian, MS 39301

Mailing Address:
P.O. Box 4195, Meridian, MS 39304

Union Status: NonUnion

SIC:

NAICS: 321918/Other Millwork (including Flooring)

Inspection Type: Fat/Cat

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 04/19/2018

Emphasis:

Case Closed: 10/16/2019

Related Activity
Type	Activity Nr	Safety	Health
Accident	1328879

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	6			1		7
Current Violations	6			1		7
Initial Penalty	$33,628	$0	$0	$0	$0	$33,628
Current Penalty	$23,400	$0	$0	$0	$0	$23,400
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
1.	01001	Serious	19100025 B03	09/19/2018	10/12/2018	$2,700	$3,880	$0	I - Informal Settlement
2.	01002	Serious	19100028 B03 II	09/19/2018	10/12/2018	$2,700	$3,880	$0	I - Informal Settlement
3.	01003A	Serious	19100147 C04 II	09/19/2018	10/12/2018	$9,200	$12,934	$0	I - Informal Settlement
4.	01003B	Serious	19100178 M02	09/19/2018	10/12/2018	$0	$0	$0	I - Informal Settlement
5.	01004A	Serious	19100178 M05 III	09/19/2018	10/12/2018	$3,600	$5,174	$0	I - Informal Settlement
6.	01004B	Serious	19100178 L01 I	09/19/2018	10/12/2018	$0	$0	$0	I - Informal Settlement
7.	01005	Serious	19100219 C04 I	09/19/2018	10/12/2018	$2,500	$3,880	$0	I - Informal Settlement
8.	01006	Serious	19100219 F03	09/19/2018	10/12/2018	$2,700	$3,880	$0	I - Informal Settlement
9.	02001	Other	19100303 G01	09/19/2018	10/12/2018	$0	$0	$0	I - Informal Settlement

Investigation Summary

Investigation Nr: 104747.015

Event: 04/17/2018

Employee loosens a cylinder and is struck by a forklift's fo

At 11:45 a.m. on April 17, 2018, an employee was working on a forklift while the fork tines were lifted. The employee loosened a cylinder and the forks fell on him when the air pressure was removed, crushing him.

Keywords: Crushed, Cylinder, Powered Industrial Vehicle, Struck By

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1309182.015	59	M	Fatality		Machinery maintenance occupations

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