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Inspection Detail
Inspection: 1265943.015 - Wa317946653 - Builtgreen Supply Inc
Inspection Information - Office: Dosh Seattle Service Location, Seattle, Wa
Site Address:
Wa317946653 - Builtgreen Supply Inc
10809 Se 16th St
Clyde Hill, WA 98004
Mailing Address:
521 S Monroe St, Seattle, WA 98108
Union Status: NonUnion
SIC:
NAICS: 444190/Other Building Material Dealers
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 02/21/2018
Emphasis: P:Hosp, S:Hosp
Case Closed: 03/05/2019
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1267227 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 4 | 4 | ||||
| Current Violations | 4 | 4 | ||||
| Initial Penalty | $10,000 | $0 | $0 | $0 | $0 | $10,000 |
| Current Penalty | $10,000 | $0 | $0 | $0 | $0 | $10,000 |
| 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 | 296-863-40005 | 03/01/2018 | 10/06/2017 | $2,500 | $2,500 | $0 | Z - Issued | ||
| 2. | 01002 | Serious | 296-800-11010 | 03/01/2018 | 11/21/2017 | $2,500 | $2,500 | $0 | Z - Issued | ||
| 3. | 01003A | Serious | 296-863-40010 | 03/01/2018 | 09/20/2017 | $2,500 | $2,500 | $0 | Z - Issued | ||
| 4. | 01003B | Serious | 296-863-60005 | 03/01/2018 | 03/19/2018 | $0 | $0 | $0 | Z - Issued | ||
| 5. | 01004 | Serious | 296-800-14005 | 03/01/2018 | 04/03/2018 | $2,500 | $2,500 | $0 | Z - Issued |
Investigation Summary
At approximately 10:40 a.m. on September 20, 2017, Employee #1 was operating a portable industrial truck. He was not wearing a seatbelt as he drove the industrial truck. The industrial truck had its mast extended, which caused it to be out of balance and tipped forward. The industrial truck ended up landing on its forks. Employee #1 was ejected from his seat and suffered blunt force head trauma when his head struck the overhead protection of the industrial truck and died.
Keywords: Ejected, Head, Industrial Truck, Overturn, Seat Belt, Struck Against, Unstable Position
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1265943.015 | 57 | M | Fatality | Occupation not reported |