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Inspection Detail
Inspection: 1504287.015 - 111539 - Tvh Exteriors Llc
Inspection Information - Office: Indiana Department Of Labor
Site Address:
111539 - Tvh Exteriors Llc
107 South Richland Creek Drive
Princeton, IN 47670
Mailing Address:
11835 Westline Industrial Drive, Saint Louis, MO 63146
Union Status: NonUnion
SIC:1799
NAICS: 238190/ Other Foundation, Structure, and Building Exterior Contractors
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 03/01/2021
Emphasis: S:Fall
Case Closed: 11/18/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1697098 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 3 | 3 | ||||
| Initial Penalty | $0 | $0 | $0 | $1,800 | $0 | $1,800 |
| Current Penalty | $0 | $0 | $0 | $2,900 | $0 | $2,900 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Other | 19040039 A01 | 03/12/2021 | 04/15/2021 | $2,500 | $1,000 | $0 | I - Informal Settlement | ||
| 2. | 01002 | Other | 19040040 A | 03/12/2021 | 04/15/2021 | $200 | $400 | $0 | I - Informal Settlement | ||
| 3. | 01003 | Other | 19101200 E01 | 03/12/2021 | 04/15/2021 | $200 | $400 | $0 | I - Informal Settlement |
Investigation Summary
On November 24, 2020, Employee #1 and a coworker, employed by a construction company, were applying a surface coating of stucco to the exterior of a hotel. They were working from a Genie GS-2646 SL26 Scissor Lift. As the coworker applied the stucco to the under portion of a large entryway, Employee #1 began to walk backward on the lift. Employee #1 fell from the lift, a fall height of 10 to 15 feet. He was transported to the hospital for treatment of injuries that included head trauma and a fractured sternum. Employee #1 died at the hospital on November 26, 2020.
Keywords: Blunt force trauma, Chest, Construction, Fall, Fall Protection, Head, Installing, Scissor lift, Traumatic, Walking Backward, Wall
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1504287.015 | 48 | M | Fatality | Occupation not reported |