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### Inspection Detail

**Case Status: CLOSED**

#### **Inspection: 1241823.015 - 106177 - Modern Materials Inc**

**Inspection Information - Office: Indiana**

 

**Inspection Nr**

**Report ID**

**Date Opened**

----

**Site Address**: 			   106177 - Modern Materials Inc			   435 North State Road 25Rochester, IN 46975

**Mailing Address**: 			   435 North State Road 25, Rochester, IN 46975

**Union Status**: NonUnion

**SIC**:3479

**NAICS**: 332812/ Metal Coating, Engraving (except Jewelry and Silverware), and Allied Services to Manufacturers

----

**Inspection Type**: Fat/Cat

**Scope**: Partial

**Advanced Notice**: N

**Ownership**: Private

**Safety/Health**: Safety

**Close Conference**: 05/31/2017

**Emphasis**:

**Case Closed**: 01/25/2019

----

**Case Status: CLOSED**

#### **Investigation Summary**

**Investigation Nr**

**Event**

At 10:01 a.m. on May 30, 2017, an employee was struck by a forklift as it was backing out of a truck that was being loaded with wooden pallets. The driver backed out of a truck at the dock, turned, and struck the employee, sending him to the ground. The employee sustained multiple injuries to his left leg, knee, and foot. On May 30, 2017 at 5:30 am, the employee died at home. It was reported that his lungs filled with fluid and he suffered a heart attack.

**Keywords:**heart attack, powered industrial vehicle, struck by
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