Inspection Detail

Inspection: 307893040 - Javier Tinajero

Inspection Information - Office: Little Rock Area Office

Inspection Nr: 307893040

Report ID: 0627100

Date Opened: 09/02/2004

Site Address:
Javier Tinajero
110 N. 2nd Street
Fort Smith, AR 72901

Mailing Address:
1205 Monteray Blvd., Apt. 108, Euless, TX 76040

Union Status: NonUnion

SIC:1751

NAICS: 238130/Framing Contractors

Inspection Type: Unprog Rel

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 02/08/2005

Emphasis: L:Fall, S:Construction Fatalities

Case Closed: 02/23/2005

Related Activity
Type	Activity Nr	Safety	Health
Accident	100262898

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations	1					1
Initial Penalty	$1,500	$0	$0	$0	$0	$1,500
Current Penalty	$1,500	$0	$0	$0	$0	$1,500
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	19260451 C02 IV	02/08/2005	02/18/2005	$1,500	$1,500	$0		-

Investigation Summary

Investigation Nr: 200262475

Event: 09/01/2004

Employee is killed, another injured in fall from forklift

On September 1, 2004, Employees #1 and #2 were lifted in a job-fabricated man-basket or personnel platform on the forks of a Lull brand rough terrain lift. The basket was not secured to the forks, or otherwise attached to lift. When the basket was elevated to a height of approximately 22 ft to 25 ft, the basket tipped and fell to the ground, dumping out the two employees. Employee #1 suffered a fatal head wound. Employee #2 survived the fall, suffering only a fracture of the pubic ramus.

Keywords: UNSECURED, INDUSTRIAL TRUCK, WORK PLATFORM, FRACTURE, CARPENTER, CONSTRUCTION, PELVIS, FALL, SCAFFOLD

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	307893040					Occupation not reported

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