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Inspection Detail
Inspection: 111303343 - Insulation Removal Specialists
Inspection Information - Office: Dosh Everett Service Location, Everett, Wa
Site Address:
Insulation Removal Specialists
4609 Picnic Pt Rd
Edmonds, WA 98026
Mailing Address:
E 12415 Trent Rd, Spokane, WA 99216
Union Status: NonUnion
SIC:1522
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 07/12/1993
Emphasis: L:Wasafety
Case Closed: 08/23/1993
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361223654 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $500 | $0 | $0 | $0 | $0 | $500 |
| Current Penalty | $500 | $0 | $0 | $0 | $0 | $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 | 1550048002 V | 07/26/1993 | 07/12/1993 | $500 | $500 | $0 | - |
Investigation Summary
Employee #1 was standing on an aluminum extension ladder in good working condition that was leaning against a 9 foot high roof line. Employee #1 was using a pry bar to remove shingles from the roof, which slanted away from the ladder. He presumably reached or leaned out and the ladder slid along the roof line. Employee #1 either fell back or jumped back, landing on sloped ground. The angle caused him to fall back further, and he hit his head on the concrete sidewalk to the rear. He died from his injuries.
Keywords: HEAD, UNSECURED, LADDER, SLIP, CONSTRUCTION, FALL, UNSTABLE POSITION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 111303343 | Fatality | Concussion | Occupation not reported |