Inspection Detail
Inspection: 110637618 - Navy Public Works Center
Inspection Information - Office: Region 09; San Francisco
Site Address:
Navy Public Works Center
Co Npwc, Pearl Harbor - Code 09a
Pearl Harbor, HI 96860
Mailing Address:
, , 00000
Union Status: Union
SIC:4939
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership:
Safety/Health: Safety
Close Conference: 07/27/1992
Emphasis:
Case Closed: 02/12/1993
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 360635494 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 5 | 1 | 1 | 2 | 9 | |
| Current Violations | 5 | 1 | 1 | 2 | 9 | |
| Initial Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| 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 | 19260020 B02 | 12/04/1992 | 12/07/1992 | $0 | $0 | $0 | - | ||
| 2. | 01002 | Serious | 19260021 B02 | 12/04/1992 | 12/07/1992 | $0 | $0 | $0 | - | ||
| 3. | 01003 | Serious | 19260300 B01 | 12/04/1992 | 12/16/1992 | $0 | $0 | $0 | - | ||
| 4. | 01004 | Serious | 10201 A | 12/04/1992 | 12/16/1992 | $0 | $0 | $0 | - | ||
| 5. | 01005 | Serious | 19600059 A | 12/04/1992 | 12/16/1992 | $0 | $0 | $0 | - | ||
| 6. | 02001A | Willful | 19260300 D02 | 12/04/1992 | 12/16/1992 | $0 | $0 | $0 | - | ||
| 7. | 02001B | Willful | 19260301 A | 12/04/1992 | 12/16/1992 | $0 | $0 | $0 | - | ||
| 8. | 03001 | Repeat | 19260059 H | 12/04/1992 | 12/16/1992 | $0 | $0 | $0 | - | ||
| 9. | 04001 | Other | 19260059 G08 | 12/04/1992 | 12/16/1992 | $0 | $0 | $0 | - | ||
| 10. | 04002 | Other | 19260350 J | 12/04/1992 | 12/07/1992 | $0 | $0 | $0 | - |
Investigation Summary
At approximately 1:00 p.m. on June 11, 1992, Employee #1 and a coworker were assigned to tighten the nuts and bolts on the cappings for a floating wharf. They found some nuts that had a different outside diameter and decided to change these. Employee #1 lay on the ground under the capping holding the countersunk nut with a wrench. The coworker was on top of the capping using an impact wrench to loosen the bolt. Not realizing that the nut and bolt were critical in supporting the cross beam, Employee #1 told the coworker to reverse the drill and loosen the bolt, causing the 12 in. by 12 in. by 14 ft, 560 lb beam to fall. The beam crushed Employee #1's head, killing him.
Keywords: BEAM, HEAD, MAINTENANCE, DOCK, UNSECURED, CRUSHED, BOLT, STRUCK BY, FALLING OBJECT, INATTENTION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 110637618 | Fatality | Concussion | Occupation not reported |
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