Inspection Detail

Inspection: 300364643 - Excalibur Construction, Inc.

Inspection Information - Office: Minnesota Department Of Labor And Industry

Inspection Nr: 300364643

Report ID: 0552700

Date Opened: 02/04/1997

Site Address:
Excalibur Construction, Inc.
19865-19867 Leaping Deer Dr.
Eden Prairie, MN 55344

Mailing Address:
2981 197th St. E., Prior Lake, MN 55372

Union Status: NonUnion

SIC:1751

NAICS: 0

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 02/13/1997

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 12/15/1997

Related Activity
Type	Activity Nr	Safety	Health
Accident	360238497

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations	1					1
Initial Penalty	$9,750	$0	$0	$0	$0	$9,750
Current Penalty	$750	$0	$0	$0	$0	$750
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Serious	19260501 B13	05/19/1997	06/05/1997	$4,500	$4,500	$0	06/04/1997	F - Formal Settlement	Citation has been deleted.
2.	01002	Serious	19260503 A01	05/19/1997	09/25/1997	$750	$5,250	$0	06/04/1997	F - Formal Settlement

Investigation Summary

Investigation Nr: 200510055

Event: 02/03/1997

Employee killed in fall while framing exterior wall

At approximately 11:15 a.m. on February 3, 1997, Employee #1, a carpenter, was framing an exterior on a townhouse. He was standing on the edge of the first floor when he fell 10 ft, striking his head on the hard, frozen ground. Employee #1 was killed.

Keywords: HEAD, CARPENTER, WORK RULES, CONSTRUCTION, FALL, FALL PROTECTION

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	300364643			Fatality	Other	Carpenters

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