Inspection Detail

Inspection: 113458863 - Masterbilt Construction Services, Ltd.

Inspection Information - Office: Naperville Area Office

Inspection Nr: 113458863

Report ID: 0521400

Date Opened: 11/03/1999

Site Address:
Masterbilt Construction Services, Ltd.
25 W 701 Lies Road
Carol Stream, IL 60187

Mailing Address:
Rt. 1 Box 324, Princeton, IL 61356

Union Status: NonUnion

SIC:1521

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 11/30/1999

Emphasis: L:Fall

Case Closed: 06/14/2005

Related Activity
Type	Activity Nr	Safety	Health
Accident	361957566

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	3			1		4
Current Violations	3			1		4
Initial Penalty	$4,500	$0	$0	$1,500	$0	$6,000
Current Penalty	$4,500	$0	$0	$1,500	$0	$6,000
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.	01001	Serious	19260501 B10	12/02/1999	01/04/2000	$1,500	$1,500	$0	I - Informal Settlement
2.	01002	Serious	19260502 H01	12/02/1999	01/04/2000	$1,500	$1,500	$0	-
3.	01003	Serious	19260502 K02	12/02/1999	01/04/2000	$1,500	$1,500	$0	-
4.	02001	Other	19040008	12/02/1999	12/07/1999	$1,500	$1,500	$0	A - Amendment

Investigation Summary

Investigation Nr: 200820413

Event: 10/18/1999

Employee killed in fall from barn roof

Employee #1 and two coworkers were reroofing a barn with a 3-in-12 sloped roof and an eave height of 13 ft 8 in. He was shifting his weight from one foot to the other when he slipped and slid down the roof. He fell over the edge and landed on the back of his head and neck. Employee #1 was killed. No form of fall protection was being used.

Keywords: HEAD, ROOF, WORK RULES, PERIMETER GUARDING, SLIP, CONSTRUCTION, FALL, FALL PROTECTION, SLOPE, WORK SURFACE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	113458863			Fatality	Fracture	Occupation not reported

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