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US. Department of Labor Oceupational Safty and Health Administration 1995 Nort Pak Place Suite $25 ‘Allanta, GA 30339 Phone: 678.903.7301 Fax: 770-984-8855 Citation and Notification of Penalty 1 Inspection Number: 1363259. ‘Mohawk Industries Ine. Inspection Date(s): 0912/2017 -02/262018 and its successors Issuance Date: 0228/2018 160 South Industial Blvd (Calhoun, GA 30701 Inspection Site: ‘The violation()descrted inthis Cation and 1149 Duvall Rd [Notification of Penalty (are) alleged to have Chatsworth, GA 30705 ‘occurred on or about the day(s) the inspection was ‘made unless otherwise dicated within the description iver below “This Citation and Notification of Penalty (his Citation) describes violations ofthe Occupational Safety and Health Act of 1970. The penalty) listed herein is (are) based on these violations. You must abate the olations refered io in his Citation bythe dates listed and pay the penalties proposed, unless within 15 working {ays (excluding woskeods and Federal holidays) from your receipt of this Citation and Notification of Penalty You either call o schedule an informal confereace (Gee paragraph below) or you mal notice of contest to ihe US. Department of Labor Area Oifice a the address shown above. Please refer to the enclosed booklet (OSHA 3000) which outlines your rights and responsibilities and which should bs read in conjunction with this orm. Issuance of this Citation does not constitu a finding tata violation ofthe Act has occured unless there ja flue to coatest as provided fr inthe Act o,f contested, unless tis Citation is afm by the Review ‘Commission ora cour. ‘Posting - The law requtes that a copy ofthis Citation and Notification of Peny be posted immeditey in a ‘prominent place ator near the Ioeation ofthe volaton() cited herein, or fit isnt practicable because ofthe ature ofthe employer's operations, where it wll be readily obserable by all affected eployecs. Tis Citation Ist remain posted until the voltion() cited herein has (have) been abated, or for 3 working days (excluding ‘weekends and Federal holidays), whichever is longer. Informal Conference - An informal conference is not required. However, you wish to have such a conference you may request one wit the Assistant Area Director Keith Fass diring the 15 working day ‘contest perio. During such an informal conference you may present any evidence o views which you believe ‘Would suppor an adjustment tothe citation(s) andor penalties) hn itn es ectatt osua ® @ 1 you ae consideringa request for an informal conférence to discuss any issues related to this Citation and Tare anton of Penay, you must tke creo seedule it early enough tallow time te contest after the informal aerretae should yos deve to do 80 Pleate Keep in mind that a writen ete of intent o contest must be Serie fo the Area Director within 15 warking days of your receipt ofthis Citation. The running of this ‘contest period isnot interrupted by an informal conférence {you decide to request an informal conference please complet, remove and post te Notice to Employecs nest TER uation and Notification of Penalty ax soon asthe time, date, and place ofthe informal confrencs have toa ciaaemed. Be ret bring othe conference any and all supporting documentation of existing conditions teen Gras aay abelement step taken ths far. I'eonitons wart, we can ener into n informal settlement Sgveement which amicably esolves this mater without tigation or cont Right to Contest ~ You have thigh to contest this Citation and Notiietion of Fenty, You may contest Pee jon cms or ely individual tems. You may also contest proposed poalties and/or abatement des ‘without contesting the underlying violations. Unless Penalty Payment Penalies ar ue within 15 working days of receipt ofthis notcation unless cones. {Ger te enclezed bool andthe additonal information provided related tothe Deb Callction Act of 1982) {teks your chsk or money order payable to “DOL-OSHA”, Please indicate the Inspection Number onthe aoa yew You can also make your payment electronically on ¥vw.pay.60V. On the lef side of the pay-90¥ ‘rsonge you wile an option o Search Public Forms. Type "OSHA" and click Go, Prom the resus click on OSHA Penalty Pavment Form. The dre lnk is: se eerun dutta Clearing House (ACH) using your banking information. Payments of $25,000 or more sr cTanucon ID and also mist be paid wing ACH, If you require a Tranacton ID, pease contact the (OSHA Debt Collection Team at (202) 693-2170. ‘OSHA doesnot agree to any retitons or conditions or endorsements put on any check; money ort OF seer nse'saymest br les than the ill mount de, and wil proces the payments wf these restrictions or ‘conditions do not exst. Notification of Corrective Action — For each violation which you do not contest, you must provide cietc ent corificadon to the Are Direcor ofthe OSHA office ising the cation and identified above. This at cate is tbe provided by letter within 10 calendar days ater each sbetement dete. Abatement aon ton includes the date and method of abstement. Ifthe citation indicates thatthe violation was comecod ‘erg th inpention no abstemeat cerfcation is required fra item. The sstement craton ater mst Heaee lat th oct where the violation appeared andthe corexive action took place or employes mst a eoa te ttecvely informed about abatement activities. A sample abstementcrification ltr is enclosed sea tion, adi, where the citation indicates that abatement documentation is necessary, evidence ihe puchare or pair of equipment, photographs or vdeo, receipts traning rcors, , veyng that ‘Sbatement has ovured i required tobe provided tothe Area Dizeetor. Employer Discrimination Unlaveful— The law prot discrimination by an employer asst en inn a cn Peay mrtotes cosas @ e employee for ling» complaint or for exercsing any rights unde ths Act An employee who believes tht Fetes been disrinated against may fle a complaint no later than 30 days afer the discrimination ane ad withthe US. Department of Labor Area Office atthe address shown above, ‘Employer Rights and Responsibilities ~The enclosed booklet (OSHA 3000) ouinesaéiion ‘Etployer eis and responsibilities and shoud be ead in conjunction with this notification. Notice to Employees — The law gives mn employee or hsthr representative the opportunity to object 0 any aor a dat et for violation if bebe tlives the date to be unreasonable. The contest must be maid © eee courant of Labor Area Office atthe adress shown sbove and posmatked within 15 working days (Coating weckands and Federal todays of the rept bythe employer of this Citation and Notification of Penalty. Inspection Activity Data — You shoul be aware hat OSHA publishes infomation ots inspection and aaaaeetatit onthe Intemet under the povsions ofthe Electronic Freedom of Information Act. The saan rated to thse alleged voltiees wil be posted when our system indiats that you hve eccived aration, You ate enopuraged to review he information concersing your establishment al wwe. osha. gov. F Ju have ay spe with the accuracy of te information displayed, please contact his ofc. “Gate Netst ey resort ona @ @ US, Department of Labor ‘Oseuptionsl Safety snd Health Administration NOTICE TO EMPLOYEES OF INFORMAL CONFERENC ‘An informal conference has been scheduled with OSH to discuss the citation(s) issued on (02/28/2018. The conference will be held by telephone or at the OSHA office located at 1995 ‘North Park Place, Suite 525, Atlanta, GA 30339 on. at Employees and/or representatives of employees have a right to attend an informal conference. Chant iat Penty Peete osha CERTIFICATION OF CORRECTIVE ACTION WORKSHEET Inspection Number: 1263259 Company Name: Mobawk Industries Ine. Inspection Site: 1149 Duvall Ré, Chatsworth, GA 30705 Tsmuance Date: 022872018 Liat the specific method ofcorestion for each tem on his citation in this pickage that doesnot read “Corrected ‘During Inspection” end return to: U.S. Department of| ‘Occupational Safety and Health ‘Administration, 1995 North Park Place, Suite 525, Atlanta, GA 30339 Citation Number ___and Item Number __wascomected on, By (Method of Abatement: an roeain Spa aera eee ee | 1 certify thet the information contained in tis document is accurate and thatthe affected employees and their representatives have been informed ofthe abstement. Sia Dae ‘TypedorPrned Name Tile NOTE; 29 USC stig) whoever nowy hes ay fie stents eeserion er crifeaon n yaplton rc pan (ihr Sosmens ol repre be male! pare th Act Sal ypon conven be punishes ty ie fw moran Sto.00 arty inprasane of moran oth boh. POSTING: Acopy af competed Conetive Aston Werke shoul be poser enplye review Catone Neto Pty Passer ate e@ @ USS. Department of Labor Inspection Namber: 1263259 ‘Qceupaiona Safety and Health Administration nspestion Date(s: 09/02/2017 - 02/26/2018 seuance Date: 02/282018 Citation and Notification of Penalty ‘Company Name: Mohawk Industries Inc. Inspection Site: 1149 Duvall R, Chatsworth, GA 30705 Citation | Item 1 Type of Violation: Serious 29 CER 1910.212(a)(1): Types of guarding. One or more methods of machine guarding shall be provided to protect the operator and other employees in the machine area from hazards such as those ‘Created by point of operation, ingoing nip points, rotating parts, flying chips and sparks. Examples of (Buarding methods are-barier guards, two-hand tripping devices, electronic sufety devices, te () Carpet Roll Up Ares: On or about 9/2/17, and at times pris, the employer exposed employees to caught ia between hazard, in that machine guarding was not provided to employees while working ‘ea rotating parts Corrected During Inspection '$12934.00 eet ft ‘Area Director seeps eng Con a Nin of Peay bint a tyra eee ih nd rep, Citi od Naa Py resort sma @ US. Department of Labor ‘Occupational Safety and Health Administration, 1995 North Park Place Suite 525 Atlanta, GA 20339 ‘Phone: 678-903-7301 Fax: 770-584-8855 INVOICE / DEBT COLLECTION NOTICE ‘Mohawk Industries Ine. 1149 Duvall Rd, Chatsworth, GA:3070S 022872018 ‘Summary of Penalties fr Inspection Number 1263259 (Citation 1, Serious 12934.00 ‘TOTAL PROPOSED PENALTIES 12834.00 Be ee a “To swoid eddnal charges please remit payment promptly o his Area Ofc fo tbe tial amowms fh To nid i aboerieed above. Maks your check or money order payable: "DOL-OSHAY Pics eae re psotion Number Gndicated above) on the remittance. Youcan also make your payer sa onlyon snacgny goV. On the ll side of te py.gov homepage, 3 Vil Se an oP a Seas Cen OSHA" and lick Go, From th esl click on OSHA Penalty Essen Farm." aoa ar ee eengay o1/paygov/Ram/fannlnsancs Nunl2azencyFoualS=33090024, You 7% i ee our expect mumber when making the payment. Payment cn bee by ce dor be rut cing Howse (ACH using your banking inforation, Payment of $25,000 o more reanes 4 ae an dao must be pid using ACH Ifyou requ a Transaction ID please cnt he OSHA Debt Colleton Team at 202) 693-2170. ‘OStIA doesnot agree o any restrictions or conditions or endorsements put on any check, mune ori oF Rear payment fr les than the full amount due, and wilcah the check or money ode ‘estitions or conditions do not exist. 1a psonal check issu, willbe converted ito an eos fund ante (EFT. This mean rere igor chock end use the sosout infomation on itt electrically debit youracmin fF Sank wil eo Jer The dei fom your aozoun wil then ually occur within 24 ours ew be sown 2 mar scoum aement. You wil ot receive your erignl check beck: The bank wil desoy 151 oa leo copy of In EFT canst be competed bea of nus fa or Sse ocount, the bank wil attempt to make the transfer p 1 2 times, inne enn Py raptor costa @ Pursuant to the Debt Collection Act of 1982 (Pubic Law 97-365) and regulations ofthe U.S. Department of Labor 29 CER Par 20), the Occupational Sefety and Health Adminstration i require to assess interes,

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