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Inspection Detail

Inspection: 307137182 - Water Plus

Inspection Information - Office: Minnesota Department Of Labor And Industry

 

Inspection Nr: 307137182
Report ID: 0552700
Date Opened: 12/18/2003

Site Address:
Water Plus
6065 Lake Linden Dr
Shorewood, MN 55331

Mailing Address:
44 Center St, Excelsior, MN 55331

Union Status: NonUnion

SIC:1781

NAICS: 237110/Water and Sewer Line and Related Structures Construction

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 12/29/2003

Emphasis: S:Construction Fatalities, S:Struck-By

Case Closed: 12/29/2003

Related Activity
Type Activity Nr Safety Health
Accident 360315865

Investigation Summary

Investigation Nr: 200513414
Event: 12/16/2003
Employee killed when struck by lever of jack in the head

At approximately 12:08 a.m. on December 16, 2003, an employee and two coworkers were attempting to remove a well water-pump with the use of a "hand pump-jack". The load, approximately 235 lbs, placed on the lever slid approximately 13 to 15 ft, through the securing chain causing the lever to move upwards with great force, approximately 6000-7000 ft lbs, striking the employee in the head. The employee was killed..

Keywords: HEAD, STRUCK BY, HAND TOOL, JACK

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 307137182 Fatality Other Occupation not reported
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