Inspection Detail

Inspection: 104582499 - Midwest Fire Place

Inspection Information - Office: Minnesota Department Of Labor And Industry

Inspection Nr: 104582499

Report ID: 0552700

Date Opened: 01/12/1987

Site Address:
Midwest Fire Place
4501 Parkglen Rd.
St. Louis Park, MN 55416

Mailing Address:
6509 Cambridge St., St. Louis Park, MN 55426

Union Status: Union

SIC:1761

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 01/27/1987

Emphasis:

Case Closed: 02/17/1987

Related Activity
Type	Activity Nr	Safety	Health
Accident	360761324

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations	1			1		2
Initial Penalty	$165	$0	$0	$0	$0	$165
Current Penalty	$165	$0	$0	$0	$0	$165
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Serious	19260602 C01 IV	02/03/1987	02/06/1987	$165	$165	$0		-
2.	02001	Other	19260451 A04	02/03/1987	02/06/1987	$0	$0	$0		-

Investigation Summary

Investigation Nr: 14449383

Event: 01/12/1987

EMPLOYEE BEING LIFTED BY FORK LIFT INJURED; LIFT OVERTURNED

AT APPROXIMATELY 9:50 AM ON JANUARY 12, 1987, EMPLOYEE #1 WAS BEING LIFTED IN A WOODEN BOX ATTACHED TO THE FORKS OF A LULL HI-LIFT TRUCK. AT ABOUT 25 FEET IN ELEVATION AND 80% OF LIFT EXTENSION, THE LIFT TRUCK BEGAN TO SLIDE BACKWARDS BECAUSE IT WAS OVERBALANCED TO THE REAR. THE VEHICLE STRUCK A ROCK AND BEGAN TO TIP OVER. THE DRIVER JUMPED FROM THE VEHICLE. IT CONTINUED TO ROLL BACK, STRUCK A CEMENT LAMP POST BASE AND TIPPED OVER. EMPLOYEE #1, IN THE WOODEN BOX, FELL WITH THE LIFT AND RODE THE BOX DOWN. HE SUFFERED A BRUISED KIDNEY, MILD CONCUSSION, CONTUSIONS ON HIS HEAD AND OTHER BODY PARTS AND A CRACK IN HIS #5 LUMBAR. THE LUMBAR CRACK COULD POSSIBLY CAUSE FUTURE BACK PROBLEMS.

Keywords: HEAD, SPINE, WORK RULES, CONSTRUCTION, INDUSTRIAL TRUCK, FALL, CONCUSSION, KIDNEY, OVERTURN, UNSTABLE POSITION

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	104582499			Hospitalized injury	Other	Sheetmetal duct installers

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