Inspection Detail

Case Status: CLOSED

Inspection: 1265267.015 - 106546 - Hulsman Electric Company Inc

Inspection Information - Office: Indiana Department Of Labor

Inspection Nr: 1265267.015

Report ID: 0551800

Date Opened: 09/19/2017

Site Address:
106546 - Hulsman Electric Company Inc
415 E. Sr 56
Jasper, IN 47546

Mailing Address:
4445 W. Sr 56, Jasper, IN 47546

Union Status: NonUnion

SIC:1731

NAICS: 238210/Electrical Contractors

Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/23/2017

Emphasis: S:Scaffold

Case Closed: 04/04/2018

Related Activity
Type	Activity Nr	Safety	Health
Referral	1262228	Yes
Accident	1262721

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	3					3
Current Violations	3					3
Initial Penalty	$6,300	$0	$0	$0	$0	$6,300
Current Penalty	$5,670	$0	$0	$0	$0	$5,670
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	22.8(1)(1)(SEC2)	01/30/2018	02/05/2018	$1,890	$2,100	$0	I - Informal Settlement
2.	01002	Serious	19260453 B02 V	01/30/2018	02/05/2018	$1,890	$2,100	$0	I - Informal Settlement
3.	01003	Serious	19260454 B02	01/30/2018	03/22/2018	$1,890	$2,100	$0	I - Informal Settlement

Investigation Summary

Investigation Nr: 99977.015

Event: 09/11/2017

One employee killed and one injured when aerial lift tips ov

At 11:45 a.m. on September 11, 2017, Employee #1 and Employee #2 were installing bank of lighting to a football field. During the installation, the aerial lift being used tipped over, killing Employee #1 and injuring Employee #2.

Keywords: Aerial Lift, Fall, Lighting Fixture, Roll-Over, Struck By

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1265267.015	60	M	Hospitalized injury		Occupation not reported
2	1265267.015	62	M	Fatality		Occupation not reported

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