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Inspection Detail
Inspection: 1540659.015 - 149576 - 31-W Insulation Co., Inc.
Inspection Information - Office: Nc Department Of Labor - Winston-Salem
Site Address:
149576 - 31-W Insulation Co., Inc.
3507 Associate Dr.
Greensboro, NC 27405
Mailing Address:
7434 Cycle Lane, Goodlettsville, TN 37072
Union Status: NonUnion
SIC:1742
NAICS: 238310/Drywall and Insulation Contractors
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 11/23/2021
Emphasis:
Case Closed: 01/11/2022
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1784235 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 3 | 3 | ||||
| Initial Penalty | $12,975 | $0 | $0 | $0 | $0 | $12,975 |
| Current Penalty | $12,100 | $0 | $0 | $0 | $0 | $12,100 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citation Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Serious | 19260020 B04 | 11/29/2021 | 12/03/2021 | $7,000 | $7,000 | $0 | I - Informal Settlement | ||
| 2. | 01002 | Serious | 19260601 B04 | 11/29/2021 | 12/03/2021 | $5,000 | $5,000 | $0 | I - Informal Settlement | ||
| 3. | 01003 | Serious | 19260601 B14 | 11/29/2021 | 12/07/2021 | $100 | $975 | $0 | I - Informal Settlement |
Investigation Summary
At 6:40 a.m. on July 7, 2021, an employee was struck by a box truck that began to back up to leave for another worksite. The truck rolled over and dragged the employee approximately twenty feet. The truck driver realized a problem, discovered the employee under the truck and used a forklift to raise the truck off the employee. Emergency medical services were called, and the employee was transported to the hospital, but died on arrival.
Keywords: Backing Up, Dragged, Forklift, Struck By, Truck
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1540659.015 | 56 | M | Fatality | Occupation not reported |