Inspection Detail
Inspection: 1071294.015 - Tm Supply
Inspection Information - Office: Columbus Area Office
Site Address:
Tm Supply
6443, 6445 Adler Ct
Columbus, OH 43085
Mailing Address:
3971 Hoover Rd Suite 368, Grove City, OH 43123
Union Status: NonUnion
SIC:
NAICS: 238170/Siding Contractors
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 06/16/2015
Emphasis: L:Fall, L:Piv
Case Closed: 11/06/2015
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 993364 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $7,000 | $0 | $0 | $0 | $0 | $7,000 |
| Current Penalty | $7,000 | $0 | $0 | $0 | $0 | $7,000 |
| 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 | 19100178 L01 II | 10/02/2015 | 11/06/2015 | $7,000 | $7,000 | $0 | Z - Issued |
Investigation Summary
At approximately 7:00 p.m. on June 15, 2015, Employee #1 and a coworker were going to retrieve braces for a pump jump scaffold that were located on the roof of a residential building. A trash basket constructed of plywood was approximately 4 feet by 8 feet with three sides and a bottom and an open side to the front. The trash basket was constructed at the site and used by all working at the site. The trash basket was attached to a rough terrain forklift and they were going to use it to access the roof. Employee #1 got into the trash basket and the coworker elevated him. Employee #1 was elevated to approximately the second level window of the building when he moved from the center of the trash basket to the side causing the box to fall from the fork tines to the concrete ground. Employee #1 sustained blunt force trauma to the head and torso and died.
Keywords: Elevated Work Platform, Fall, Head, Powered Industrial Vehicle, Residential Construction, Torso, Unsecured
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1071294.015 | 52 | M | Fatality | Construction Laborer |
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