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Inspection Detail
Inspection: 300055407 - Cloverleaf Enterprises
Inspection Information - Office: Omaha Area Office
Site Address:
Cloverleaf Enterprises
504 East Pearl Street
Atkinson, NE 68713
Mailing Address:
Po Box 67, Thedford, NE 69166
Union Status: NonUnion
SIC:1761
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 08/16/1999
Planning Guide: Safety-Construction
Emphasis: S:Construction Fatalities
Case Closed: 12/23/1999
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361803281 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 1 | 3 | |||
| Current Violations | 2 | 1 | 3 | |||
| Initial Penalty | $200 | $0 | $0 | $100 | $0 | $300 |
| Current Penalty | $200 | $0 | $0 | $100 | $0 | $300 |
| 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 | 19260021 B02 | 08/16/1999 | 08/30/1999 | $100 | $100 | $0 | I - Informal Settlement | Citation has been deleted. | |
| 2. | 01001B | Serious | 19260501 B01 | 08/16/1999 | 09/17/1999 | $100 | $0 | $0 | I - Informal Settlement | ||
| 3. | 01002 | Serious | 19261051 A | 08/16/1999 | 09/17/1999 | $100 | $100 | $0 | I - Informal Settlement | ||
| 4. | 02001 | Other | 19040008 | 08/16/1999 | 08/16/1999 | $100 | $100 | $0 | I - Informal Settlement |
Investigation Summary
At approximately 12:00 noon on March 18, 1999, Employee #1, age 19, and coworkers were using a forklift boom to access the roof of a building. Employee #1 fell onto the concrete floor and was killed. According to a witness, Employee #1 climbed the boom, crossed the basket, and either lost his balance or caught his foot before falling to the floor. During subsequent interviews, the same witness stated that Employee #1 was on the roof and either slipped or lost his balance and fell to the floor. OSHA was unable to determine if Employee #1 fell when going from the basket to the roof, or if he fell directly off the roof.
Keywords: ROOF, SLIP, CONSTRUCTION, INDUSTRIAL TRUCK, FALL, ELEVATED WORK PLAT, LOST BALANCE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 300055407 | Fatality | Other | Roofers |