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Inspection Detail
Inspection: 1058843.015 - 1022 S. Forest L.L.C.
Inspection Information - Office: Miosha Construction Safety & Health Division
Site Address:
1022 S. Forest L.L.C.
814 Hill St.
Ann Arbor, MI 48104
Mailing Address:
820 Hill St., Ann Arbor, MI 48104
Union Status: NonUnion
SIC:
NAICS: 238320/Painting and Wall Covering Contractors
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 05/27/2015
Emphasis: S:Construction Fatalities
Case Closed: 06/03/2016
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 979674 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $21,000 | $0 | $0 | $0 | $0 | $21,000 |
| Current Penalty | $10,500 | $0 | $0 | $0 | $0 | $10,500 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Serious | 408.40114(1) | 07/09/2015 | 07/17/2015 | $3,500 | $7,000 | $0 | 08/11/2015 | F - Formal Settlement | |
| 2. | 01004A | Serious | 19260501 B13 | 07/09/2015 | 07/17/2015 | $7,000 | $7,000 | $0 | 08/11/2015 | F - Formal Settlement | |
| 3. | 01004B | Serious | 19260503 A01 | 07/09/2015 | 07/17/2015 | $0 | $7,000 | $0 | 08/11/2015 | F - Formal Settlement |
Investigation Summary
At 2:00 p.m. on April 24, 2015, an employee was painting an elevated deck built over an existing roof. The employee climbed over the railing of the elevated deck while holding a spindle with one hand and painting/staining with the other. The spindle broke where there was a knot or decayed area. The employee fell to the pavement, landing head first and was killed.
Keywords: Concrete, Elevated Work Platform, Fall, Head
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1058843.015 | 28 | M | Fatality |