Inspection Detail

Inspection: 307100222 - Ktl, Llc, Div Of Annette Holdings, Inc.

Inspection Information - Office: Little Rock Area Office

Inspection Nr: 307100222

Report ID: 0627100

Date Opened: 10/10/2003

Site Address:
Ktl, Llc, Div Of Annette Holdings, Inc.
2401 South Arkansas
Russellville, AR 71801

Mailing Address:
P. O. Box 1774, Des Moines, IA 50306

Union Status: NonUnion

SIC:4731

NAICS: 488510/Freight Transportation Arrangement

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/10/2003

Planning Guide: Safety-Manufacturing

Emphasis: L:Fall

Case Closed: 11/19/2003

Related Activity
Type	Activity Nr	Safety	Health
Accident	100262468

Investigation Summary

Investigation Nr: 200262160

Event: 10/09/2003

Employee dies after fall

On October 9, 2003, Employee #1, a driver for KLM, LLC, a division of Annette Holdings, Inc., was preparing to haul a load of lumber at Bibler Bros. Lumber Company. The lumber had been strapped down and he was unfolding a tarp to cover the lumber. He was found lying face down on the concrete. There were no witnesses and it was not known if Employee #1 had fallen from the lumber or from the same level. He was taken to the hospital where he was pronounced dead.

Keywords: LUMBER, FALL, TRUCK DRIVER

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	307100222			Fatality	Fracture	Occupation not reported

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