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Inspection Detail
Inspection: 127360832 - Cy Shores
Inspection Information - Office: Tennessee Osha Nashville Office - Safety
Inspection Nr: 127360832
Report ID: 0454712
Date Opened: 02/20/1996
Site Address:
Cy Shores
Abc Blvd.
Gallatin, TN 37066
Mailing Address:
394 Grant Hwy., Gordonsville, TN 38563
Union Status: NonUnion
SIC:4213
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 02/20/1996
Emphasis:
Case Closed: 06/30/2015
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361013733 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $500 | $0 | $500 |
| Current Penalty | $0 | $0 | $0 | $500 | $0 | $500 |
| 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 | Other | 30012 | 04/15/1996 | 05/31/1996 | $500 | $500 | $0 | - |
Investigation Summary
Investigation Nr: 200620011
Event: 01/15/1996
Employee killed when struck by jack
Employee #1 was changing a tire on a mobile home when the jack slipped and struck him on the head. Employee #1 was killed.
Keywords: UNSECURED, WORK RULES, SLIP, MOBILE HOME, HOIST, STRUCK BY, JACK
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 127360832 | Fatality | Bruise/Contus/Abras | Motor transportation occuputions n.e.c. |