Inspection Detail

Inspection: 306108598 - Dream Builders Construction, L.L.C.

Inspection Information - Office: Madison Area Office

Inspection Nr: 306108598

Report ID: 0523300

Date Opened: 12/01/2003

Site Address:
Dream Builders Construction, L.L.C.
Freiburger Lane
Hazel Green, WI 53811

Mailing Address:
P.O. Box 155, Hazel Green, WI 53811

Union Status: NonUnion

SIC:1521

NAICS: 236115/New Single-Family Housing Construction (except Operative Builders)

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 01/20/2004

Emphasis: L:Fall, S:Construction Fatalities

Case Closed: 03/10/2004

Related Activity
Type	Activity Nr	Safety	Health
Accident	100800804

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	4					4
Current Violations	4					4
Initial Penalty	$5,250	$0	$0	$0	$0	$5,250
Current Penalty	$5,250	$0	$0	$0	$0	$5,250
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	Latest Event
1.	01001	Serious	19100178 L01 I	01/27/2004	02/02/2004	$1,500	$1,500	$0	-
2.	01002	Serious	19260451 A06	01/27/2004	01/30/2004	$1,500	$1,500	$0	-
3.	01003	Serious	19260451 C02 V	01/27/2004	01/30/2004	$1,500	$1,500	$0	-
4.	01004	Serious	19260451 C02 IV	01/27/2004	02/02/2004	$750	$750	$0	-

Investigation Summary

Investigation Nr: 200801074

Event: 11/29/2003

One employee killed, one injured when forklift tips over

Two employees were installing windows in a single family residential home. They were working from a forklift basket. After installing the windows, the rough terrain forklift backed up without lowering the boom. The forklift was working on a slope and the ground had ruts in it. As a result, the forklift tipped over on its side. Employee #1 was killed and Employee #2 was hospitalized with head injuries.

Keywords: PERSONNEL CAGE, INSTALLING, CONSTRUCTION, INDUSTRIAL TRUCK, UNSTABLE SURFACE, UNSTABLE SOIL, ELEVATED WORK PLAT

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	306108598			Hospitalized injury	Fracture	Construction trades, n.e.c.
2	306108598			Fatality	Other	Construction trades, n.e.c.

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