Inspection Detail

Case Status: CLOSED

Inspection: 1483146.015 - Srs Distribution Inc., Dba Willoughby Supply

Inspection Information - Office: Columbus Area Office

Inspection Nr: 1483146.015

Report ID: 0522500

Date Opened: 07/14/2020

Site Address:
Srs Distribution Inc., Dba Willoughby Supply
11419 East Avenue
Sandyville, OH 44671

Mailing Address:
6692 Lincoln Way East, Wooster, OH 44691

Union Status: NonUnion

SIC:

NAICS: 423330/ Roofing, Siding, and Insulation Material Merchant Wholesalers

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/10/2020

Emphasis: L:Fall

Case Closed: 06/23/2021

Related Activity
Type	Activity Nr	Safety	Health
Referral	1617363	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations	1			1		2
Initial Penalty	$12,145	$0	$0	$0	$0	$12,145
Current Penalty	$12,145	$0	$0	$0	$0	$12,145
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	5A0001	09/11/2020	10/16/2020	$12,145	$12,145	$0	10/05/2020	J - ALJ Decision
2.	02001	Other	19100132 D02	09/11/2020	10/16/2020	$0	$0	$0	10/05/2020	J - ALJ Decision

Investigation Summary

Investigation Nr: 127717.015

Event: 07/06/2020

Employee breaks hip after removing fall protection before fa

At 8:30 a.m. on July 7, 2020, an employee had just removed his fall protection (FP) after delivering roofing materials on a detached garage roof. The employee was getting ready to step from roof onto a Cleasby Model FBR-6-38 Truck Mounted Conveyor which had been improperly modified with guardrails and used for raising and lowering employees. The employee fell over 11 feet and fractured his right hip from impact with the concrete driveway below and was hospitalized.

Keywords: Blunt force, Blunt force trauma, Concrete, Conveyor, Delivery Work, Fall, Fall Protection, Fracture, Guardrail, Hip, Material Handling, Off Loading, Roof, Walking Surface

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1483146.015	34	M	Hospitalized injury		Laborers, except construction

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