Inspection Detail

Case Status: CLOSED

Inspection: 1405267.015 - Polivka International Company Inc.

Inspection Information - Office: Dallas Area Office

Inspection Nr: 1405267.015

Report ID: 0626300

Date Opened: 06/03/2019

Site Address:
Polivka International Company Inc.
1801 Lone Star Drive
Dallas, TX 75212

Mailing Address:
13700 Providence Rd., Weddington, NC 28104

Union Status: NonUnion

SIC:

NAICS: 237990/Other Heavy and Civil Engineering Construction

Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 06/03/2019

Emphasis:

Case Closed: 01/11/2022

Related Activity
Type	Activity Nr	Safety	Health
Accident	1460947

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations	1					1
Initial Penalty	$11,934	$0	$0	$0	$0	$11,934
Current Penalty	$0	$0	$0	$0	$0	$0
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citation Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Serious	5A0001	11/27/2019	12/24/2019	$0	$11,934	$0	12/18/2019	R - Review Commission

Investigation Summary

Investigation Nr: 116772.015

Event: 06/01/2019

One employee is killed, one is injured when struck by Ballas

At 9:00 a.m. on June 1, 2019, Employees #1 and #2, employed by a rail construction company, were using a Kershaw Ballast Regulator tamping machine to level a railroad track. They were working near the machine when it rolled down and struck both employees. Employee #1 was killed. Employee #2 was transported by emergency services to the hospital, where he was admitted and treated for lacerations to both arms.

Keywords: Arm, Construction, Construction vehicle, Grader, Laceration, Maintenance, Rail, Railroad, Railroad Track, Roll-Over, Struck By

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1405267.015	40	M	Hospitalized injury		Occupation Not Listed
2	1405267.015	47	M	Fatality		Occupation Not Listed

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