Inspection Detail

Case Status: CLOSED

Inspection: 1374653.015 - Executive Custom Construction, Inc.

Inspection Information - Office: Englewood Area Office

Inspection Nr: 1374653.015

Report ID: 0830600

Date Opened: 01/29/2019

Site Address:
Executive Custom Construction, Inc.
800 Gospel Truth Way
Woodland Park, CO 80863

Mailing Address:
13540 Meadowgrass Drive, Colorado Springs, CO 80921

Union Status: NonUnion

SIC:

NAICS: 236220/Commercial and Institutional Building Construction

Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 01/29/2019

Emphasis:

Case Closed: 03/19/2019

Related Activity
Type	Activity Nr	Safety	Health
Accident	1420702

Case Status: CLOSED

Investigation Summary

Investigation Nr: 113319.015

Event: 01/28/2019

Employee is crushed during forklift rollover and is killed

At 8:00 a.m. on January 29, 2019, an employee was pushing snow to clear access road with a forklift when the left rear wheel of the forklift went over the embankment and the forklift rolled over. The employee was thrown from the forklift and crushed when it rolled over, killing him.

Keywords: Crushed, Embankment, Powered Industrial Vehicle, Roll-Over

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1374653.015	68	M	Fatality		Construction trades, n.e.c.

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