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### Inspection Detail

**Case Status: OPEN**

**Note:** The following inspection has not been indicated as closed. Please be aware that the information shown may change, e.g. violations may be added or deleted.  For open cases, in which a citation has been issued, the citation information may not be available for 5 days following receipt by the employer for Federal inspections or for 30 days following receipt by the employer for State inspections.

#### **Inspection: 1668624.015 - Amazon - Fwa4**

**Inspection Information - Office: Indiana**

 

**Inspection Nr**

**Report ID**

**Date Opened**

----

**Site Address**: 			   Amazon - Fwa4			   9798 Smith RoadFort Wayne, IN 46809

**Mailing Address**: 			   9798 Smith Road, Fort Wayne, IN 46809

**Union Status**: NonUnion

**SIC**:

**NAICS**: 454110 

----

**Inspection Type**: Fat/Cat

**Scope**: Partial

**Advanced Notice**: N

**Ownership**: Private

**Safety/Health**: Safety

**Close Conference**: 07/25/2023

**Emphasis**:

**Case Closed**: 

----

**Case Status: OPEN**

#### **Investigation Summary**

**Investigation Nr**

**Event**

At 12:30 p.m. on May 8, 2023, an employee traveled 103 feet on a JLG model 20MSP Serial Number 0130D40104 one man lift to clear a jam on a conveyor line.  When the employee came to conveyor J5, he struck the conveyor with his head. En route to clear the blocked conveyor, the employee had a collision with a conveyor that measures approximately 6 feet 8 inches in height. The point of impact was the employee's head. The employee's head measured approximately 7 feet 5 inches from the lower level when standing on the lift. Upon the incident occurring, the employee suffered blunt force head injuries that resulted in death.

**Keywords:**blunt force trauma, conveyor, crushed, forklift, head, struck against
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