Inspection Detail

Inspection: 306122482 - Dow Industries

Inspection Information - Office: Nv-E-Las Vegas 0953220

Inspection Nr: 306122482

Report ID: 0953220

Date Opened: 04/15/2003

Site Address:
Dow Industries
9005 South Pecos Road
Henderson, NV 89074

Mailing Address:
2606 East La Madre Way, North Las Vegas, NV 89031

Union Status: NonUnion

SIC:4214

NAICS: 484110/ General Freight Trucking, Local

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 05/16/2003

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 06/23/2003

Related Activity
Type	Activity Nr	Safety	Health
Accident	101042588

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				1		1
Current Violations				1		1
Initial Penalty	$0	$0	$0	$550	$0	$550
Current Penalty	$0	$0	$0	$330	$0	$330
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	Other	19100178 L01 I	05/22/2003	05/27/2003	$330	$550	$0		I - Informal Settlement

Investigation Summary

Investigation Nr: 201041365

Event: 04/15/2003

Employee dies of ruptured aorta

At approximately 7:35 a.m. on April 15, 2003, Employee #1 was operating a forklift in the shop yard, returning traffic cones from the front of the main building to the shop area for storage. Employee #1 suffered an aorta valve rupture, lost control of the forklift, and crashed into the west side of the shop building. He was transported by ambulance to Lake Mead Hospital where he was pronounced dead. Per the medical examiner's report, Employee #1 died from a ruptured porcine aortic valve leaflet due to heart disease.

Keywords: HEART, IND TRK OPERATOR, RUPTURE, INDUSTRIAL TRUCK, CARDIOVASC DISEASE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	306122482			Fatality	Other	Industrial truck and tractor equipment operators

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