Inspection Detail

Case Status: CLOSED

Inspection: 1611341.015 - 104852 - Elk River Operations Llc

Inspection Information - Office: Minnesota Department Of Labor And Industry

Inspection Nr: 1611341.015

Report ID: 0552700

Date Opened: 07/20/2022

Site Address:
104852 - Elk River Operations Llc
11124 183rd Circle Nw
Elk River, MN 55330

Mailing Address:
3300 Rice St, Suite 100, Saint Paul, MN 55126

Union Status: NonUnion

SIC:

NAICS: 623312/Homes for the Elderly

Inspection Type: Unprog Rel

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 01/10/2023

Emphasis:

Case Closed: 06/23/2023

Related Activity
Type	Activity Nr	Safety	Health
Accident	1921412

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations	1			1		2
Initial Penalty	$9,900	$0	$0	$0	$0	$9,900
Current Penalty	$3,000	$0	$0	$2,500	$0	$5,500
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citation Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Other	19100030 A01	01/11/2023	06/17/2023	$2,500	$4,950	$0	01/30/2023	F - Formal Settlement
2.	01002	Serious	19100067 C02 V	01/11/2023	01/15/2023	$3,000	$4,950	$0	01/30/2023	F - Formal Settlement

Investigation Summary

Investigation Nr: 148190.015

Event: 07/19/2022

One employee is killed, another incurs multipe injuries afte

At 12:00 a.m. on July 19, 2022, two employees were working in a boom lift truck, straightening a flagpole with a strap attached between the boom lift's bucket and the flagpole at approximately 30 feet above the ground. The strap then broke, causing the boom lift to catapult the two employees out of their respective buckets. One employee died due to head injury. The other employee sustained broken bones, a leg laceration, and a head injury and was hospitalized.

Keywords: Blunt force trauma, Boom, Boom Truck, Broken Bone, Fall, Fall From Elevation, Head, Laceration, Leg

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1611341.015	63	M	Hospitalized injury		Occupation not reported

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