Inspection Detail

Inspection: 111224309 - The Swedish Builder

Inspection Information - Office: Dosh Everett Service Location, Everett, Wa

Inspection Nr: 111224309

Report ID: 1055310

Date Opened: 06/23/1993

Site Address:
The Swedish Builder
1523 Seattle Hill Rd
Bothell, WA 98012

Mailing Address:
3520 27th Pl West, Seattle, WA 98199

Union Status: NonUnion

SIC:6513

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/01/1993

Emphasis:

Case Closed: 12/21/1993

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2			1		3
Current Violations	2			1		3
Initial Penalty	$250	$0	$0	$0	$0	$250
Current Penalty	$250	$0	$0	$0	$0	$250
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
1.	01001	Serious	1550061503 A 02	10/22/1993	10/01/1993	$125	$125	$0	11/05/1993	W - Empr Withdrew
2.	01002	Serious	1550020503	10/22/1993	10/01/1993	$125	$125	$0	11/05/1993	W - Empr Withdrew
3.	02001	Other	0240002003 B	10/22/1993	10/01/1993	$0	$0	$0	11/05/1993	W - Empr Withdrew

Investigation Summary

Investigation Nr: 170245609

Event: 06/23/1993

Employee killed when rock falls from forklift

Employee #1 and another employee were placing rocks in a rockery with a forklift. The forklift, a Loed Hy-lift model #534, had been altered with large timbers to extend the reach of the forks. A chain was placed around the rock and around the timbers. The other employee was told by Employee #1 to hoist the forks. According to the other employee, the chain came off the rock when he raised the forks, causing the timbers to come off the forklift. The rock struck Employee #1 in the head. Employee #1 died of a head fracture and brain lacerations.

Keywords: CHAIN, FRACTURE, HEAD, ROCK, WORK RULES, INDUSTRIAL TRUCK, LACERATION, FALLING OBJECT, BRAIN, UNSTABLE LOAD

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	111224309			Fatality	Fracture	Occupation not reported

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