Inspection Detail

Case Status: CLOSED

Inspection: 1438996.015 - Adanac Builders Corporation

Inspection Information - Office: Arizona Division Of Occupational Safety And Health (Adosh)

Inspection Nr: 1438996.015

Report ID: 0950411

Date Opened: 10/18/2019

Site Address:
Adanac Builders Corporation
2705 Navajo Blvd.
Holbrook, AZ 86025

Mailing Address:
17505 North 79th Ave. Ste. 401, Glendale, AZ 85308

Union Status: NonUnion

SIC:

NAICS: 236220/Commercial and Institutional Building Construction

Inspection Type: Fat/Cat

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 11/18/2019

Emphasis: S:Fall

Case Closed: 03/11/2020

Related Activity
Type	Activity Nr	Safety	Health
Accident	1510567

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations	2					2
Initial Penalty	$2,625	$0	$0	$0	$0	$2,625
Current Penalty	$1,838	$0	$0	$0	$0	$1,838
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	19260502 B13	12/20/2019		$788	$1,125	$0		I - Informal Settlement
2.	01002	Serious	19260503 A01	12/20/2019	01/16/2020	$1,051	$1,500	$0		I - Informal Settlement

Investigation Summary

Investigation Nr: 120884.015

Event: 10/18/2019

Employee is killed in fall inside stairwell access

At 8:30 a.m. on October 18, 2019, an employee was working as an interior carpenter. At some point, the employee fell an unknown height (no witnesses to the fall, however, distance between floors was 24 feet). The employee was found by coworkers in a stairwell access. The employee was killed by face and head trauma from the fall.

Keywords: Blunt force trauma, Carpenter, Face, Fall, Fall Protection, Head, Stair

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1438996.015	45	M	Fatality		Construction laborers

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