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Inspection Detail
Inspection: 1590327.015 - Midwest Spray Foam
Inspection Information - Office: Iowa 0751910
Site Address:
Midwest Spray Foam
3916 Ironwood Ave
Orange City, IA 51041
Mailing Address:
2902 Auora Ave W, Spirit Lake, IA 51360
Union Status: NonUnion
SIC:
NAICS: 238310/Drywall and Insulation Contractors
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 06/01/2022
Emphasis: S:Fall, S:Scaffold
Case Closed: 08/22/2022
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1885829 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | 4 | |||
| Current Violations | 1 | 2 | 3 | |||
| Initial Penalty | $5,462 | $0 | $0 | $438 | $0 | $5,900 |
| Current Penalty | $4,500 | $0 | $0 | $400 | $0 | $4,900 |
| 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. | 01001A | Serious | 19260451 F03 | 07/07/2022 | 07/26/2022 | $4,500 | $2,731 | $0 | I - Informal Settlement | ||
| 2. | 01001B | Serious | 19260451 G04 II | 07/07/2022 | $0 | $2,731 | $0 | I - Informal Settlement | |||
| 3. | 02001 | Other | 19040031 A | 07/07/2022 | 07/26/2022 | $200 | $219 | $0 | I - Informal Settlement | ||
| 4. | 02002 | Other | 19040039 A02 | 07/07/2022 | 08/02/2022 | $200 | $219 | $0 | I - Informal Settlement |
Investigation Summary
At 8:30 a.m. on April 9, 2022, an employee was on a Skyjack Model SJ 7127 Rough Terrain Scissor Lift, approximately 20 feet above the floor with an unguarded platform access opening. The employee was spraying Quik-Shield 118 resin spray foam insulation on the ceiling of 40 feet wide by 82 feet long by 22 feet peak Quonset hut building. The employee fell off the aerial platform, striking his head on the concrete floor. The employee was hospitalized for head trauma and later died.
Keywords: Fall, Fall From Elevation, Head, Insulation, Scissor lift, Unguarded
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1590327.015 | 43 | M | Fatality | Insulation Workers |