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U.S. Department of Labor Occupational Safety and Healts Administration 36 Triangle Park Drive Cincinnati, OH 45246 Phone: 515-841-4132 Fax: S13-841-4114 Citation and Notification of Penalty ey Inspection Number: 1099224 Fruyac Glass Americ, ine Inspection Date(s): 10/162015 -04/062016 and is successors ie Date: 04/11/2016 2801 Swoop Rd Moraine, OH 45439 Inspection Site ‘The volaion)lserbae i 8 Clation and 2801 Stroop Re ‘Notficaton of Penalty is (re) alleged to hare Moraine, O11 45439 ‘2ccurreaon or chou the days) the inspecien was Imac wniess esherse indicated within the escription _given Beto This Citation and Notification of Penalty (this Citation) describes violations ofthe Occupational Saety snd Health Act of 1970. The penaltyies) listed herein is (are based on these violations, You must abate the ‘olatons refered toi this Citation by the dates listed and pay the penalties propose, unless within 15 working days (excluding weekends and Federal holidays) from your receipt of this Citation and Notficaion of Penalty {ou cither cal fo schedule an informal confercaee (Gee paragraph below) or you mal a oli of contest 0 the US. Deparment of Labor Area Office atthe address shown above, Please reer to he enloned booklet (OSHA 3000) which outines your rights and responsibilities and which should be readin conjunction with this form, lsuance ofthis Citation does not constiute a finding tha violation ofthe Act has cecutred unless there isa fallueto contest as provided for in the Act ot, if contested, unless this Cation is affirmed by the Review ‘Commission ora court, Posting - the faw requires that a copy of this Citation and Notifietion of Penely be posted innmediatly ina prominent place ator near the location of the violations) cited herein, o,f tf not practicable because ofthe ‘ature ofthe employers operations, where i willbe readily observable by all feted employees. This Citation ‘must remain posted until the violations) cited herein has (have) been abated, or for 3 working days (encluing weekends and Federal holides), whichever is longer Informal Conference ~ An informal conference isnot required, However, iyou wish to have suche conference you may request one withthe Area Director during the 18 working éay contest period, During sch 1an informal conference you may present any evidence or views which you believe would suppor an adjustment to the citations) andor penalties), rr heros you are considering a request for an informal conference o discuss any issues related to this Citation and ‘Notation of Penalty, you must take care to schedule it early enough tallow time to contest after the informal ‘conference, should you decide to do so. Fease keepin mind tha a written letter of intent fo contest must be submitted tothe Area Director within 15 working day’ of your receipt of this Citation. The running of this Contest period isnot interrupted by an informal conference, you decide to request an informal conference, please complete, remove and post the Notice to Employees nest {0this Citation and Notifeaton of Penalty as soon asthe ime, date, and place ofthe informal conference have been determined. Be sure to bring tthe conference any and al supporting documentation of exsing conditions swell as any abatement steps taken ths fr. If conditions warrant, we can enter inl an informal setlement ‘agreement which amicably resolves this mater without litigation oF contest. Right to Contest ~ You have the right to contest this Citation and Notification of Penslty. You may contest allcittion items or only individual tems. You may also contest proposed penalties andor abatement dates without contesting the underlying violations. Unless vou inform the Area Director in writing that you inten (5) and/or proposed panalty(es) with citation(s) ‘andthe proposed penalties) will became a final order ofthe Occupational Safety and Health Review ‘Commission and may not be reviewed by any court or azency, Penalty Payment Penahis ae due within 15 working days of receipt of this notification unless contested (See the enclosed booklet end the adaitioal information provided related to the Debt Collection Ast of 1982.) Make your check or money order payable to “DOL-OSHA”. Please indicate the Inspection Number onthe remittance. You can also make your payment electronically on SW: pay.g0V, On the lf side ofthe pay gov homepage, you wll se an option o Search Public Forms. Type "OSHA and click Go, From the resus, lick ‘on OSHA Penalty Payment Form. Thedlrect ink is sHywww.pay gov/paygov/forms/formlnstance himI?ageneyFormld=$3090334 ‘You wil be required to enter your inspection number when making the payment, Payments can be made by edit card or Automated Clearing House(ACH) using your banking information. Payments of $25,000 or more require a Transaction ID, and also mus be paid using ACH. If you requzea Transaction ID, please conact the (OSHA Debt Collection etm at (202) 691-2170, (OSHA does not agree to any restrictions o conditions or endorsements put on any check, money order, oF lectonie payment for fess than the ll amount due, and will process the payments as if these restitons conditions do not ext Notification of Corrective Action — For each violation which you do not contest, you must provide abatement certification to te Area Diresor ofthe OSHA office ising the etation and identified above, This shutement cenification isto be provided by leer within 10 calendar days ae each abatement dae, Abetement entiation includes the date and method of abatement, IF the eitation indicates thatthe violation was corrected ‘during the inspection, no abatement centifcation is required for hat tem. The abatement cetfetion letr must be posted at the location where the vilaton appeared and the corrective ation tock place or employees must ‘otherwise be effectively informed about abatement actives, sample abatement cerean leer I enclosed with this Citation. In addition, where the citation indestes that abatement documentation is necessary, evidence ‘ofthe purchase or repair of equipment, plotograpis or vide, secips, aining records, et, verifying that abatement has occurred is equied tobe provided tothe Area Directr. Employer Diserimination Unlawful ~The law prohibits discrimination by an employer agains an Cisne ifeion ey Pap 20r9 ose ‘employee for filing a complaint or for exercising any rights under this Act. An employee who believes that hie has been discrininated against may file a complaint no Inter than 30 days after the discrimination ‘scured with the U.S. Department of Labor Area Ofie at the address show above, :mployer Rights and Responsibilities ~The enclosed booklet (OSHA 3000) outlines adational ‘employer rights and responsibilities and should be readin conjunetion wit his notification Notice to Employees ~The law gives an employee or histher representative the opportunity to objet to any 'shtement date st fo violation i heishe believes the dat to be unreasonable. The contest must be mailed to the U.S. Department of Labor Area Office atthe address shown above and postmarked within 15 working days (excluding weekends and Federal holidays) ofthe receipt by the employer of his Citation and Notification of Penalty. Inspection Activity Tata — Vou shouldbe aware that OSHA publishes information on its ngpsston and citation stvity on the Internet under the provisions ofthe Blecionie Freedom of Information Act, The information related totes alleged violations willbe posted when aur system indicates that you have received this citation. You ae excouraged to review te information concerning your establishment al wwww.osha gov. IF you have any dispute withthe accuracy ofthe infarmation displayed, please contac this office Clon Nieto of Pena rage osiaa US. Department of Labor wv » Occupational Safety and Health Adminstration NOTICE TO EMPLOYEES OF INFORMAL CONFERENCE ‘An informal conference has been scheduled with OSHA to discuss the citation(s) issued on (04/11/2016. The conference will be held by telephone or at the OSHA office located at 36 at ‘Triangle Park Drive, Cincinnati, OH 45246 on _ Employees and/or representatives of employees have a right to attend an informal conference. ‘Sexes None nacht cosas (CERTIFICATION OF CORRECTIVE ACTION WORKSHEET Inspection Number: 1099224 Company Name: Fuyao Glass America ne Inspection Sit: 2801 Stroop Ré, Moraine, OH 45439 Issiance Dat: 04/11/2016 List the speific method of correction foreach item on this citation in this package that doesnot read “Corrected During Inspection” and return to: US, Department of Labor ~ Oceupational Safety and Health ‘Administration, 36 Triangle Park Drive, Cincinnati, OH 45246 Citation Number __and tem Number _was corrected on By (Method of Abatement) Citation Number __and Item Number_ was corrected on| By (Method of Aatomen) CCittion Number _and tem Number___was coreeted on By (Method of Aaieipent): Citation Number _and tem Number_wascorectedon By (Method of Abatement Citation Number snd Item Number __was comet on. - By (Method of Abatement Citation Number ___and item Number_wa corrected on, [By (Method of Abatement {ceri that the information contained inthis document is accurate and tha he affected employees and their representatives have been informed of the abatement Signe Bae ‘Typed or Printed Name Tie Sae NOTE: 29 USC 66) weve nosing makes my ile semen presentation ocean nay apn, rr pln ithe doce Med requ oe ane pura whe et shal upon ante ane ye of an S100 ory mprsonment of a mre hana te. POSTING: A copy of omplted Careaive Acton Worses shod pase oe een Ciaon st Notion of Fay Page Sort osiaa US. Department of Labor Inepeetion Number: 1099224 (Occupational Safety and Heelth Administration Inspection Date(s): 10/16/2015 - 04/06/2016 Issuance Dat Citation snd Notification of Penalty Company Name: Fuyao Glass America, Ine. Inspection Site: 2801 Stroop Ré, Moraine, OH 45439 Citation 1_Hem 1 Type of Violton: Serious. 29 CER 1910.212(a)(1): Types of guasding. One or more methods of machine guarding shall be provided to protect the operator and other employees inthe machine area from hazards such as those created by point of operation, ingoing nip points, rotating parts, flying chips and sparks. Examples of {guarding methods are-bartier guards, two-hand tripping devices.lectronic safety devices, etc 42)On October 21, 2015 while catching glass off of line FTBH2 machine guarding was notin place to prevent employees exposures to pinch points crested within te roller system, ‘Date By Which Violation Must be Abated: Corrected During Inspection Proposed Penalty $7000.00 US, Department of Labor Inspection Number: 1099224 (Occupational Safety and Health Administration Inspection Date(s: 10/167201S - 04/06/2016 Issuance Date: 08/1/2016 Cation and Notification of Penal Company Name: Fuyao Glass America, Ine Inspection Site: 2801 Stroop Rd, Moraine, OH 45439 Citation 1 em 2. typeof Violation: Serious. 29 CER 1926.502{i\3); All covers shall be secured when installed so as to prevent accidental displacement by the wind, equipment, or employees, undefined '8: On 16 October, 2015 covers for service trenches under ovens located near grid coordinates L-43 and 43 (as designated on floor plant ckawing G-101, dated 20 February, 2015) were not secured to prevent accidental movement. Date By Wh ch Violation Must be Abated: Corrected During Inspe Proposed Penalty $7000.00 Hay Lohse Ken E, Montgomery ‘Area Director Sec pre sgh hs Cn ant Noon fey finn mpegs, US. Department of Labor Oupatint Sayan Hea Adinsaon Seng ak De vw Cina on ste INVOICE / DEBT COLLECTION NOTICE Company Name: Fuyao Gliss America, tne. Inspection Site: 2801 Stroop Rd, Moraine, OH 45439 Issuance Date: 4/11/2016 ‘Summary of Penalties for Inspection Number 099024 Citation 1, Serious $14000.00 TOTAL PROPOSED PENALTIES 14000.00 ‘To avoid additonal charges, please remit payment promptly to this Area Oice forthe total amount ofthe uncontested penalties summarized above. Make your check or money order payable o: "DOL-OSHA", Pease indicate OSHA's Inspection Number (indicated above) on the remittance. You ca also make your payment clectroniclly on www. pay.gov, On the lft side ofthe pay:gov homepage, you wll se an eption to Search Public Forms. Type °OSHA" and cick Go. From the results, click on OSHA Penalty Payment Form. The diet link is hups/ www, pay, gov/payov/Torms/Farmlnstance him ?agencyFormld=53000334, You will be required to enter your inspection number when making the payment. Payments can be made by ereit card or ‘Avlomated Clearing House (ACH) using your banking information. Payments of $23,000 o more require a Transaction ID, and also must be paid using ACH. IF you require a Transaton ID, pease contact the OSHA Debt Collection Team a (202) 693-2170 OSHA does not agree to any restitions or conditions or endorsements puton any cheek, money order, or lecironie payment fr les than the fll amount due, and will ash the chesk or money oder asf these ‘estietions oF conditions do nat exis, Ia persona check is issued, it wil be converted int an electronic fund transfer (EET). This means that our bank will copy your check and use the account information on itt electronically debit your account fr the ‘amount ofthe check. The bit fom your account will then usually occu within 24 hours and wil be shown on ‘your regular ascount statement, You will not receive your orginal check beck. The bank will destroy your ‘original check, bu wil keep a copy of it. If the EFT cannot be completed teceuse of insufficient nds or closed account, the Bank wil attempt to make the transfer up to 2 times Cin a Nate Rndy Poets sia Pursuant to the Debt Colleton Act of 1982 (Public Law 97-365) and regulations ofthe US. Department of Labor (29 CFR Part 20, the Occupational Safety and Health Administration is required to asses interes,

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