Inspection Detail

Inspection: 306686239 - Lake Henry Development Inc.

Inspection Information - Office: Tampa Area Office

Inspection Nr: 306686239

Report ID: 0420600

Date Opened: 09/14/2004

Site Address:
Lake Henry Development Inc.
5990 Walt Loop Road
Lakeland, FL 33809

Mailing Address:
%Ogletree, Deakins, Nash 600 N Westshore Suite 200, Tampa, FL 33609

Union Status: NonUnion

SIC:4225

NAICS: 531130/Lessors of Miniwarehouses and Self-Storage Units

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 01/31/2005

Emphasis: L:Fall

Case Closed: 07/11/2005

Related Activity
Type	Activity Nr	Safety	Health
Accident	102424801

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations	1					1
Initial Penalty	$6,300	$0	$0	$0	$0	$6,300
Current Penalty	$4,750	$0	$0	$0	$0	$4,750
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	5A0001	02/02/2005	03/22/2005	$4,750	$6,300	$0		I - Informal Settlement

Investigation Summary

Investigation Nr: 202344578

Event: 09/10/2004

Employee Is Killed in Fall from Elevation

Employee #1 was working with a coworker to reinstall a piece of fascia aluminum which had blown down during a recent hurricane. The piece was to be reinstalled on the fascia of the second story of a building at a self-storage facility, at a height of approximately 21 ft above ground. Employee #1 was on a 24-ft extension ladder and he was reaching above his head and backwards when he lost his balance and fell approximately 15 ft to the paved ground. Employee #1 struck his head on the ground which caused his death. The coworker was on the ground at the time with his back to Employee #1 and did not see the actual fall.

Keywords: FRACTURE, HEAD, EXTENSION LADDER, FALL, FALL PROTECTION, LOST BALANCE, UNSTABLE POSITION

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	306686239			Fatality	Fracture	Occupation not reported

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