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Inspection Detail
Inspection: 1241993.015 - International Stucco Llc
Inspection Information - Office: Iowa 0751910
Site Address:
International Stucco Llc
4901 Ave O
Fort Madison, IA 52627
Mailing Address:
Po Box 229 380 W Us Hwy 54 - Suite 201, Camdenton, MO 65020
Union Status: NonUnion
SIC:
NAICS: 238170/Siding Contractors
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 06/22/2017
Emphasis: S:Fall, S:Scaffold, S:Zipcode
Case Closed: 10/03/2017
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1232394 | ||
| Inspection | 1242073 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $3,000 | $0 | $0 | $0 | $0 | $3,000 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| 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 | 19260451 C02 V | 09/20/2017 | $0 | $1,500 | $0 | I - Informal Settlement | |||
| 2. | 01002 | Serious | 19260451 G04 I | 09/20/2017 | $0 | $1,500 | $0 | I - Informal Settlement |
Investigation Summary
At 3:30 p.m. on June 21, 2017, an employee was being raised upon a makeshift scaffold platform that rested upon a fork truck. The platform measured 4 feet by 4 feet by 8 feet and was lifted to an approximate 25 feet elevation to nail a metal facia cover in place. During work, the platform shifted and the employee fell to a concrete surface sidewalk below. The employee suffered multiple fractures and crushing injuries that resulted in his death.
Keywords: Fall, Powered Industrial Vehicle, Scaffold, Unstable Position, Work Platform
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1241993.015 | 45 | M | Fatality | Carpenters |