Inspection Detail

Inspection: 306426404 - Whb Plaster Inc

Inspection Information - Office: Dosh Seattle Service Location, Seattle, Wa

Inspection Nr: 306426404

Report ID: 1055320

Date Opened: 09/09/2003

Site Address:
Whb Plaster Inc
9050 16th Ave. Sw
Seattle, WA 98106

Mailing Address:
200 31st Ave Apt 1, Seattle, WA 98122

Union Status: NonUnion

SIC:1742

NAICS: 238310/Drywall and Insulation Contractors

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/21/2003

Emphasis: L:Constr

Case Closed: 09/25/2006

Related Activity
Type	Activity Nr	Safety	Health
Accident	101196574

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations	1			1		2
Initial Penalty	$900	$0	$0	$0	$0	$900
Current Penalty	$500	$0	$0	$0	$0	$500
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	1550048307 B	11/19/2003	09/09/2003	$500	$900	$0	02/17/2004	F - Formal Settlement
2.	02001	Other	80032020	11/19/2003	12/22/2003	$0	$0	$0	02/17/2004	F - Formal Settlement

Investigation Summary

Investigation Nr: 202351128

Event: 08/16/2003

Employee falls from scaffolding and dies

At approximately 2:00 p.m. on August 16, 2003, Employee #1 was erecting a scaffolding system to be used to apply a stucco finish on a new building under construction. He had been a scaffold erector since 1966; this also was his first day at this job site. He fell approximately 23 feet from the 4th level of scaffolding under construction, and received multiple injuries, including a broken leg. Employee #1 was transported to Harborview Medical Center. He was at home recovering after his stay in the hospital when he died on September 6, 2003 of Pulmonary Embolus. According to the Medical Examiner it was related to the fall.

Keywords: FRACTURE, FALL, PULMONARY EMBOLISM, LEG, SCAFFOLDING

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	306426404			Fatality	Fracture	Occupation not reported

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