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Inspection Detail
Inspection: 304808074 - Insulation Midwest, Inc.
Inspection Information - Office: Minnesota Department Of Labor And Industry
Site Address:
Insulation Midwest, Inc.
1815 4th Street Se
Minneapolis, MN 55455
Mailing Address:
2201 108th Lane Ne, Blaine, MN 55449
Union Status: Union
SIC:1742
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 05/15/2002
Planning Guide: Safety-Construction
Emphasis: S:Falls
Case Closed: 06/11/2005
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 360315360 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | ||||||
| Initial Penalty | $25,000 | $0 | $0 | $0 | $0 | $25,000 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| 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. | 01001 | Serious | 182065302 | 06/24/2002 | 06/28/2002 | $7,000 | $7,000 | $0 | 07/03/2002 | F - Formal Settlement | Citation has been deleted. |
| 2. | 01002 | Serious | 19260021 B02 | 06/24/2002 | 06/28/2002 | $18,000 | $18,000 | $0 | 07/03/2002 | F - Formal Settlement | Citation has been deleted. |
Investigation Summary
Employee #1 was working from an aerial lift (Model Number JLG 800AJ). He was not wearing personal fall arrest protection which exposed him to a potential fall hazard of approximately 52 feet. The aerial lift partially tipped over, causing Employee #1 to be catapulted from the lift basket when a section of the lower boom came in contact with the ground. Employee #1 fell approximately 40 feet to the ground and was killed.
Keywords: BOOM, FALL, FALL PROTECTION, AERIAL LIFT
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 304808074 | Fatality | Other | Occupation not reported |