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Inspection Detail
Case Status: CLOSED
Inspection: 1247364.015 - Wa317945800 - Assurance Roofing & Construction Llc
Inspection Information - Office: Dosh Everett Service Location, Everett, Wa
Inspection Nr: 1247364.015
Report ID: 1055310
Date Opened: 07/15/2017
Site Address:
Wa317945800 - Assurance Roofing & Construction Llc
8536 Ne 176th St
Bothell, WA 98011
Mailing Address:
13701 49th Dr Ne, Marysville, WA 98271
Union Status: NonUnion
SIC:
NAICS: 238160/Roofing Contractors
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 12/08/2017
Emphasis:
Case Closed: 04/16/2018
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1241442 |
Case Status: CLOSED
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 5 | 3 | 8 | |||
| Current Violations | 5 | 3 | 8 | |||
| Initial Penalty | $14,500 | $0 | $0 | $0 | $0 | $14,500 |
| Current Penalty | $13,000 | $0 | $0 | $0 | $0 | $13,000 |
| 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 | 296-876-40040(2) | 12/19/2017 | 07/15/2017 | $3,000 | $3,000 | $0 | 12/28/2017 | C - Contested | |
| 2. | 01002 | Serious | 296-876-40020(1) | 12/19/2017 | 07/15/2017 | $3,000 | $3,000 | $0 | 12/28/2017 | C - Contested | |
| 3. | 01003 | Serious | 296-155-110(3) | 12/19/2017 | 07/15/2017 | $2,500 | $2,500 | $0 | 12/28/2017 | C - Contested | |
| 4. | 01004 | Serious | 296-155-24609(1) | 12/19/2017 | 07/15/2017 | $3,000 | $3,000 | $0 | 12/28/2017 | C - Contested | |
| 5. | 01005 | Serious | 296-155-24611(2)(A) | 12/19/2017 | 12/23/2017 | $1,500 | $3,000 | $0 | 12/28/2017 | C - Contested | |
| 6. | 02001 | Other | 296-155-110(5)(A) | 12/19/2017 | 12/23/2017 | $0 | $0 | $0 | 12/28/2017 | C - Contested | |
| 7. | 02002 | Other | 296-155-110(9)(B) | 12/19/2017 | 12/23/2017 | $0 | $0 | $0 | 12/28/2017 | C - Contested | |
| 8. | 02003 | Other | 296-155-350(1) | 12/19/2017 | 12/23/2017 | $0 | $0 | $0 | 12/28/2017 | C - Contested |
Investigation Summary
Investigation Nr: 97237.015
Event: 07/15/2017
Employee falls from ladder and is killed
At 8:51 a.m. on July 15, 2017, an employee was was working from ladder when he extended his reach and fell to the ground. The employee was killed due to multiple blunt force injures.
Keywords: Fall, Ladder
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1247364.015 | 43 | M | Fatality | Occupation not reported |