Inspection Detail

Case Status: CLOSED

Inspection: 1419788.015 - Kelgor Constructions Services, Inc.

Inspection Information - Office: Naperville Area Office

Inspection Nr: 1419788.015

Report ID: 0521400

Date Opened: 08/01/2019

Site Address:
Kelgor Constructions Services, Inc.
Swiss Automation, Inc. 185 Detroit St.
Cary, IL 60013

Mailing Address:
7 Hillside Drive Unit A, Lake Barrington, IL 60010

Union Status: NonUnion

SIC:

NAICS: 237110/Water and Sewer Line and Related Structures Construction

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 08/01/2019

Emphasis: L:Fall

Case Closed: 11/22/2019

Related Activity
Type	Activity Nr	Safety	Health
Referral	1478947	Yes
Inspection	1419819	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations	1					1
Initial Penalty	$2,842	$0	$0	$0	$0	$2,842
Current Penalty	$2,842	$0	$0	$0	$0	$2,842
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	Contest	Latest Event	Note
1.	01001	Serious	19260020 B01	09/09/2019	10/16/2019	$2,842	$2,842	$0		Z - Issued

Investigation Summary

Investigation Nr: 118502.015

Event: 07/20/2019

Employee falls and receives multiple injuries when scissor l

At 10:30 a.m. on July 20, 2019, an employee worked from a scissor lift (SkyJack, model # SJ III 3219) to make a pipe connect just above an overhead garage door. As the employee worked from the elevated platform, a coworker, operating a forklift outside the facility, approached the garage door and used a remote control to open the door not knowing that the employee was just on the other side. As the garage door began to roll up, sections of the door struck the scissor lift and pushed it away from the door which unbalanced the lift and the lift fell. The employee fell approximately fourteen feet with the lift and was transported by ambulance to a hospital for treatment. After initial treatment, the employee was then airlifted to a medical center and hospitalized for nine days to treat 8 lost upper jaw front teeth, has 4 lost lower jaw front teeth, face contusions, rear head laceration, and an ankle fracture.

Keywords: Ankle, Connecting, Contusion, Emergency Response, Face, Fall, Fall From Elevation, Forklift, Fracture, Head, Laceration, Mouth, Overhead Door, Pipe, Pushing, Remote Control, Scissor lift, Tips Over

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1419788.015	44	M	Hospitalized injury		Carpenters

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