Inspection Detail

Case Status: CLOSED

Inspection: 1077167.015 - Adam Montemayor

Inspection Information - Office: Boise Area Office

Inspection Nr: 1077167.015

Report ID: 1032500

Date Opened: 07/09/2015

Site Address:
Adam Montemayor
700 S 2725 East
Declo, ID 83323

Mailing Address:
5209 Worth Way, Caldwell, ID 83607

Union Status: NonUnion

SIC:

NAICS: 423330/ Roofing, Siding, and Insulation Material Merchant Wholesalers

Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 07/13/2015

Emphasis:

Case Closed: 07/10/2020

Related Activity
Type	Activity Nr	Safety
Accident	999460
Inspection	1078580	Yes
Inspection	1079437	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations	2					2
Initial Penalty	$5,600	$0	$0	$0	$0	$5,600
Current Penalty	$5,600	$0	$0	$0	$0	$5,600
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	Latest Event
1.	01001A	Serious	19260020 B01	08/13/2015	09/09/2015	$2,800	$2,800	$0	A - Amendment
2.	01001B	Serious	19260020 B02	08/13/2015	09/09/2015	$0	$0	$0	Z - Issued
3.	01002	Serious	19260250 A01	08/13/2015	09/09/2015	$2,800	$2,800	$0	A - Amendment

Investigation Summary

Investigation Nr: 78025.015

Event: 07/09/2015

Employee Is Struck And Killed By Falling Object

At approximately 6:30 a.m. on July 9, 2015, Employee #1 was unloading material from a steel conex container. As he worked, material fell on him pinning him against the steel conex wall. The employee was killed when the material crushed his upper body, including his chest and abdomen.

Keywords: Abdomen, Chest, Crushing, Falling Object, Struck By

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1077167.015	35	M	Fatality		Construction Laborer

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