Inspection Detail

Case Status: CLOSED

Inspection: 1603241.015 - Fcx2022xt3633x0046 - United Southwest Components Llc

Inspection Information - Office: Arizona Division Of Occupational Safety And Health (Adosh)

Inspection Nr: 1603241.015

Report ID: 0950411

Date Opened: 06/16/2022

Site Address:
Fcx2022xt3633x0046 - United Southwest Components Llc
1700 S Kachina Dr
Tempe, AZ 85281

Mailing Address:
1700 S Kachina Dr, Tempe, AZ 85281

Union Status: NonUnion

SIC:

NAICS: 321214/Truss Manufacturing

Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 06/16/2022

Emphasis:

Case Closed: 09/29/2022

Related Activity
Type	Activity Nr	Safety	Health
Accident	1909165	Yes

Case Status: CLOSED

Investigation Summary

Investigation Nr: 149748.015

Event: 06/16/2022

Employee is killed when forklift rolls over

At 11:22 a.m. on June 16, 2022, an employee was driving forklift when he hit a bollard and the forklift rolled over. The employee's head was crushed by the protective structure of the forklift, and he subsequently died.

Keywords: Blunt force, Blunt force trauma, Crushed, Driver, Driving, Forklift, Head, Roll-Over, Struck Against

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1603241.015	25	F	Fatality		Equipment Operator: Skidsteer/Bobcat

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