Inspection Detail

Case Status: CLOSED

Inspection: 1227852.015 - Wa317944940 - Lakeside Industries

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

Inspection Nr: 1227852.015

Report ID: 1055330

Date Opened: 04/22/2017

Site Address:
Wa317944940 - Lakeside Industries
1500 Wahl Lake Road
Port Ludlow, WA 98365

Mailing Address:
Po Box 7016, Issaquah, WA 98027

Union Status: NonUnion

SIC:

NAICS: 237310/ Highway, Street, and Bridge Construction

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/27/2017

Emphasis:

Case Closed: 02/02/2018

Related Activity
Type	Activity Nr	Safety	Health
Accident	1205719

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	5			2		7
Current Violations	5			2		7
Initial Penalty	$22,300	$0	$0	$0	$0	$22,300
Current Penalty	$21,400	$0	$0	$0	$0	$21,400
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.	01001A	Serious	296-806-42010	10/09/2017	04/22/2017	$7,000	$7,000	$0	10/27/2017	C - Contested
2.	01001B	Serious	296-800-16040	10/09/2017	04/22/2017	$0	$0	$0	10/27/2017	C - Contested
3.	01002	Serious	296-800-26010(1)	10/09/2017	11/11/2017	$3,600	$3,600	$0	10/27/2017	C - Contested
4.	01003	Serious	296-24-75003(1)	10/09/2017	04/22/2017	$3,600	$3,600	$0	10/27/2017	C - Contested
5.	01004	Serious	296-806-30030	10/09/2017	11/11/2017	$5,400	$6,300	$0	10/27/2017	C - Contested
6.	01005	Serious	296-806-30014	10/09/2017	04/22/2017	$1,800	$1,800	$0	10/27/2017	C - Contested
7.	02001	Other	296-876-40050(1)	10/09/2017	04/22/2017	$0	$0	$0	10/27/2017	C - Contested
8.	02002	Other	296-876-40030(1)	10/09/2017	04/22/2017	$0	$0	$0	10/27/2017	C - Contested

Investigation Summary

Investigation Nr: 95085.015

Event: 04/22/2017

Employee falls down conveyor and later is killed

At 7:30 a.m. on April 22, 2017, an employee fell down an asphalt mixing conveyor and stairway that was approximately 71 feet long. He sustained multiple injuries and was airlifted to Harborview Hospital, where the employee later died on April 26, 2017 at 12:10 pm.

Keywords: Conveyor, Fall, Stair

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1227852.015	58	M	Fatality		Occupation not reported

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