Inspection Detail

Inspection: 307583393 - Nevada Water Company, Llc.

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

Inspection Nr: 307583393

Report ID: 0953220

Date Opened: 04/04/2004

Site Address:
Nevada Water Company, Llc.
6585 Escondido Street, Suite C
Las Vegas, NV 89119

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:5149

NAICS: 312112/Bottled Water Manufacturing

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 04/21/2004

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 05/26/2004

Related Activity
Type	Activity Nr	Safety	Health
Accident	101043032

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2			8		10
Current Violations	2			6		8
Initial Penalty	$5,250	$0	$0	$3,000	$0	$8,250
Current Penalty	$4,200	$0	$0	$0	$0	$4,200
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	Latest Event	Note
1.	01001	Serious	19100147 C04 I	04/30/2004	06/02/2004	$1,400	$1,750	$0	I - Informal Settlement
2.	01002	Serious	19100212 A01	04/30/2004	06/02/2004	$2,800	$3,500	$0	I - Informal Settlement
3.	02001	Other	618037801	04/30/2004	05/05/2004	$0	$2,500	$0	I - Informal Settlement	Citation has been deleted.
4.	02002	Other	618037901	04/30/2004	05/05/2004	$0	$500	$0	I - Informal Settlement	Citation has been deleted.
5.	03001A	Other	618037601	04/21/2004	04/30/2004	$0	$0	$0	-
6.	03001B	Other	618038302 B	04/21/2004	05/21/2004	$0	$0	$0	-
7.	03002	Other	618038304	04/21/2004	05/21/2004	$0	$0	$0	-
8.	03003A	Other	19040029 A	04/21/2004	05/07/2004	$0	$0	$0	-
9.	03003B	Other	19040032 B05	04/21/2004	05/07/2004	$0	$0	$0	-
10.	03004	Other	19100132 D02	04/21/2004	05/21/2004	$0	$0	$0	-
11.	03005	Other	19100242 B	04/21/2004	05/07/2004	$0	$0	$0	-
12.	03006A	Other	19100253 B04 III	04/21/2004	04/30/2004	$0	$0	$0	-
13.	03006B	Other	19100253 B04 III	04/21/2004	04/30/2004	$0	$0	$0	-

Investigation Summary

Investigation Nr: 201041761

Event: 04/03/2004

Employee is killed when struck by counterbalance

Employee #1 was working as a filler operator at the Nevada Water Company when he left the control panel for an unknown reason and went to the bottle filling area. He was struck in the head by the counterbalance arm and was killed. He was discovered on the floor by a coworker when the bottle supply to the labeler stopped.

Keywords: FRACTURE, HEAD, COUNTERBALANCE, GUARD, MACHINE OPERATOR, LOCKOUT, STRUCK BY

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	307583393			Fatality	Fracture	Packaging and filling machine operators

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