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Occupational Safety and Health Administration OSHA

Inspection Detail

Case Status: CLOSED

Inspection: 1484533.015 - Standard Of Beaverdale

Inspection Information - Office: Iowa


Inspection Nr: 1484533.015
Report ID: 0751910
Date Opened: 07/21/2020

Site Address:
Standard Of Beaverdale
11194 Twin Ponds Dr.
West Burlington, IA 52655

Mailing Address:
11194 Twin Ponds Dr., West Burlington, IA 52655

Union Status: NonUnion


NAICS: 423310/ Lumber, Plywood, Millwork, and Wood Panel Merchant Wholesalers

Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 07/21/2020


Case Closed: 12/18/2020

Related Activity
Type Activity Nr Safety Health
Accident 1626755
Case Status: CLOSED
Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 2 2
Current Violations 2 2
Initial Penalty $11,366 $0 $0 $0 $0 $11,366
Current Penalty $11,366 $0 $0 $0 $0 $11,366
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 19260451 C02 V 11/19/2020 01/08/2021 $5,683 $5,683 $0 Z - Issued  
2. 01002 Serious 19100178 M05 I 11/19/2020 01/08/2021 $5,683 $5,683 $0 Z - Issued  

Investigation Summary

Investigation Nr: 127970.015
Event: 07/20/2020
Employee Falls From Elevated Forklift Box Platform And Is Ki

At 4:30 p.m. on July 20, 2020, an employee was in the process of removing broken branches from trees located on the property. The employee had a coworker raise him up in a wood box that was being used as a personnel basket. Using a CASE (Mo del Number 580 "G" Series) Forklift, the coworker then raised the box up the req uired height determined by the employee. The coworker was then directed by the employee to move her car. When the coworker reached her car, she heard a crash. When she looked up, she saw the employee lying on the ground with the wood box o n top of him. The employee was killed by a wood box that was approximately 4 fe et wide by 4 feet high, by 4 feet deep.

Keywords:elevated work platform, fall, forklift, struck by

Investigated Inspection
# Inspection Age Sex Degree Nature Occupation
1 1484533.015 Fatality Supervisors, n.e.c.
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