Inspection Detail
Inspection: 1118507.015 - 120 85, Llc
Inspection Information - Office: Denver Area Office
Site Address:
120 85, Llc
10925 E 120th Ave
Henderson, CO 80640
Mailing Address:
10925 E 120th Ave, Henderson, CO 80640
Union Status: NonUnion
SIC:
NAICS: 324121/Asphalt Paving Mixture and Block Manufacturing
Inspection Type: Fat/Cat
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 07/15/2016
Emphasis:
Case Closed: 05/01/2017
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1054242 |
| 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 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001A | Serious | 19100023 C01 | 07/18/2016 | 08/11/2016 | $2,800 | $2,800 | $0 | I - Informal Settlement | ||
| 2. | 01001B | Serious | 19100132 A | 07/18/2016 | 08/11/2016 | $0 | $0 | $0 | I - Informal Settlement | ||
| 3. | 01002A | Serious | 19100147 C04 II | 07/18/2016 | 08/11/2016 | $2,800 | $2,800 | $0 | I - Informal Settlement | ||
| 4. | 01002B | Serious | 19100147 C07 I | 07/18/2016 | 08/11/2016 | $0 | $0 | $0 | I - Informal Settlement |
Investigation Summary
At 1:15 p.m. on January 18, 2016, an employee climbed to the highest point of a stacker conveyor to grease the head pulley. Concurrently, a coworker turned on the conveyor, causing the employee to fall to the ground and suffer a fatal head trauma.
Keywords: Conveyor, Fall, Head, Lockout/Tagout
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1118507.015 | 40 | M | Fatality |
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