LS. Department of Labor
Occupational Safety and Heath administration
36 Triangle Park Drive
Cocionai, OF 45246,
Phone: 513-841-4132 Fax: 513-841-4114
Citation and Notification of Penalty
Tor Inspection Number: 1152986
louterman Baking Ce Inspection Dates) 06/072016 11/01/2016
and its successors Issuance Date: 11/03/2016
44960 Paddock Ré
Cincinnati, OH 45229
Inspection Site: The violeion(s) described in ths Cation and
1000 East Ross Avenue [Notficaion of Peralty is fare alleged to have
Cincinnati, OH 45217, ‘ceurred on or about the days) the inspection was
‘made snlessothervse Indicated within the desripsion
given below:
‘This Citation and Notification of Penalty (this Citation) describes violations ofthe Oxcupational Safety and
Health Act of 1970. The penatyies) listed herein is (are) based on these violations. You must abate he
‘olatons refered to in this Citation by the dates listed and pay the penalties proposed, unless within 18 working
days (excluding weekends and Federal holidays) fom your receipt of this Citation and NotiGeaton of Penalty
You either call 0 schedule an informal conference (see parageaph below) or ou mail a notice of eames
the US. Department of Labor Area Oifice atthe address shown above. Please refer tothe enelosed book et
(OSHA 3000) which outlines your rights and responsibilities and which shouldbe read in conjunction with this
form, tsuance ofthis Citation does not constitute a finding that a violation ofthe Act has eure anles thee
isa flue to contest as proved for in the Actor, if contorted lens this Cation is ane Uy Ue Review
Commission ora cour
Posting - The law requires that a copy ofthis Citation and Notification of Penalty be posted immediately ina
prominent place ator near the location ofthe violations) cited herein o,ifit i not pratiable because ofthe
‘ature ofthe employers operations, where it wll be readily observable by all feted employees, This Chation
‘must remain posted until the violations) cited herein has (have) been abated, or for 3 working days (exsluding
weekends and Federal holiday), whichever is longer.
Informal Conference - An informal conference isnot required, However, i you wish to have such a
‘conference you may request one wth the Area Director during the 15 working day contest petiod. During sch
an informal conference you may present any evidence or views which you believe would suppor an adjustment
to the citation(s) andor penaltye).Ifyou ae considering request for an informal conference to discuss any issues rele to this Citation and
Notification of Penalty. you must ake carr to schedule it early enough tallow imeto ones afer he infil
conference, should you decide todo so, Please keepin mind that written letter of nent to contest must be
submited tothe Area Director within 5 working days of yur cept ofthis Citation. The running of this,
contest period isnot interrupted by an informal conference
Ifyou decide o request an informal conference, please complete, remove and pos th: Notice to Employees next
{o this Citation and Notification of Penalty as soon asthe time, date, and place of the informal conference hve
ben determined. Be sure to bring tothe conference any and all supporting documentation of existing conditions
125 wel as any abatement steps taken thus fer feonitions warrant, we ean enter infoan informal setlement
‘agreement which amicably resolves this mater without litigation or contest.
Right to Contest — You have the right fo contest this Citation and Notification of Penalty. You may contest
all citation items or only individual items. You may also contest proposed penalties andlor abatement dates
‘without contesting the underiving violations. Unless rm the Area Dirsctorin writing that you intend
contest the citation(s) and sel penalty le) within 15 working days alee sltatio
and the proposed pe ill become a final order ofthe Occupational Safety and Health Review
‘Commission and may not be revi ‘court oF 3
Penalty Payment — Penalties are due within (5 working days of receipt of his noificationunles cnteste.
(See the enclosed booklet and the adkitional information provided related tothe Debt Collection Act of 1982)
“Make your cheek or money order payable to “DOL-OSHA", Please indicate the Inspection Number on the
remittance, You can also make your payment electronically on WwWpav.eov, On the lf sie ofthe pay gov
‘homepage, you will se an option to Search Public Forms. Type "OSHA" and click Go. From the results, lik
‘on OSHA Penalty Payment Form. The dies ink is
1tps://wwvu: pay, gov/pavgov/forms/formlnstanee himl2azeneyFor
3090334,
‘You wl be required to enter your inspection number when making the payment. Payments can be made by
‘redit card or Automated Clearing House (ACH) using your banking infermation. Payments of $25,000 oF more
require a Transaction ID, and also must be paid using ACH. Ifyou require a Transaction ID, please contac the
‘OSHA Debt Collection Team at (202) 693-2170.
‘OSHA does not agree to any restrictions or conditions or endorsements pu on any check, money order, oF
lectronc payment for less than the fll amount due, and wil process the payments as if these restrictions oF
Conditions a not vst
Notification of Corrective Action — For each violation which you do not contest, you must provide
Abatement crificaion tote Area Director af the OSHA office issuing the citation and dented above. This
abatement certification isto be provided by leter within 10 calendar days afer each abatement date. Abatement
Certification includes the date and method of abatement. If the citation indicates that fhe violation was corrected
during the inspection, no abatement cerifiation is required fr tha item, The abatement certification ler mist
be posted at the location where the violation appeared and the corrective action took place or employees mist
‘otherwise be effectively informed about abatement activities. A sample abatement cenifiatin let is enclosed
‘with his Citation, tm adition, where the etation indicates tht abatement dacumentetion is necessary, evidence
ofthe purchase oF repair of equipment, photograph or video, receipts, taining record, etc, verifying that
abatement has occurred is requied to be provided tothe Ates Director
Employer Discrimination Unlawful ~The aw prohibits discrimination by anemployee against a9
Cina nd eon ety Paeror tt ost«employee fr fling a complaint or for exercising any rghls under this Act. An employee who believes that
hehe sven Uscrimingted agains may tile a complaint na later than 30 days arte dsetination
occurred withthe U.S. Department of Labor Area Office atte address shown above,
Employer Rights and Responsibilities ~The enclosed booklet (OSHA 3000) outlines adstional
‘employer rights and responsibilities and shouldbe readin conjunction win his ntifaion
Notice to Employees —The law gives an employe or hisher representative the cpportunity to objec to any
abatement date set fora violation if he/she believes the date tobe unreasonable: The contest mst be aled to
the U.S. Deparment of Labor Area Office tthe address shown above and posimarke within 8 werking days
(excluding weekends and Federal holidays) ofthe receipt by the employer of this Citation and Notification of
Penalty
Inspection Activity Data — You shouldbe aware that OSHA publishes infoatn on is ingpection and
eitation activity on the Itemer under the provisions ofthe Electronic Freedom of lnfemation Act The
information related to these alleged violations willbe posted when our system indicates that you have received
"this citation. You are encouraged to review the information concerning your establishment at wwowasha gow It
‘you have any dispute wi the accuracy ofthe information displayed, please contact his office
Centon nt Renney Poet oniU.S. Department of Labor
Ocaupational Safety and Health Administration
NOTICE TO EMPLOYEES OF INFORMAL CONFERENCE
‘An informal conference has been scheduled with OSHA to discuss the citation(s) issued on
11/93/2016. The conference will be held by telephone or at the OSHA office located at 36
‘Triangle Park Drive, Cincinnati, OH 45246 on at
Employees and/or representatives of employees have a right to attend an informal conference.
iaion Nee of Fay Peers nseCERTIFICATION OF CORRECTIVE ACTION WORKSHEET
Inspection Number: 1152986
Company Name: Klosterman Baking Co.
Inspection Site: 1000 East Ross Avenue, Cincinnat
Issuance Date: 11/03/2016
on 4s2i7
List the speifi method of correction foreach item on this citation inthis package that does not read “Corrected
During Inspection” and return to: U.S. Nepartment of Labor Oecupational Safety and Heal
‘Administration, 96 Triangle Park Drive, Cincinnati, OH 45246
Citation Number _and Item Number __was corected on
By (Method of Abatement
Citation Number __and item Number __was corrected on
By (Method of Abatement)
Citation Number __and ltem Number _was corrected on ___
By (Method of Abatement)
Citation Number_and ttem Nummber__was corected on
By (Method of Abatement
Citation Number _and lem Number __was corrected on
By (Methed of abafement
Citation Number _and term Number __was corected on
By (Method of Abatement)
1 certify that the information contained in this document i accurate and tht the affected employees and thee
‘representatives have been informed of the abetement
Sige oa =
‘ype or Prine’ Name Te
NOTE: 29 USC 6a) whoever navingly makes nse terns. rpeenltionoerieion ny ape. plane
‘ite dosent ied ered a be maine prs At hl ean cowiion be penahedty so stent ne hae
51000 ory inpesonmen oft ean nos orto
POSTING: A copy of comple Conscine Aston Worth shouldbe pat for enplne eve
Cran sien eny Poe Sort asiaU.S. Department of Labor Inspection Number: 1152986
Occupational Safety and Health Administration Inspection Date(s: 06/072016 - 11/01/2016
Issuance Date: 11/03/2015
a
and Notification of Penal
Company Name: Klosterman Baking Co.
Inspection Site: 1000 East Ross Avenue, Cincinnati, OH 45217
Citation |_Item 1 type of Violation: Serious.
29 CER 1910.147(¢)(6)i): Tue employer shall certify that the periodic inspections have been
‘performed. The certification shall identity the machine or equipment on whieh the energy contol
‘Proceure was being utilized, the date ofthe inspection, the employees included inthe inspection, and
‘the person performing the inszection.
‘The employer had not certified a periodic inspection of their energy control srocedures within the last
year,
In accordance with 29 CFR 1903.19(d), abatement certification is required for this violation (using the
CERTIFICATION OF CORRECTIVE ACTION WORKSHEET), and in adition, documentation,