Inspection Detail

Inspection: 307934380 - Verbeek Construction L L C

Inspection Information - Office: Dosh Everett Service Location, Everett, Wa

Inspection Nr: 307934380

Report ID: 1055310

Date Opened: 08/30/2004

Site Address:
Verbeek Construction L L C
14921 22nd Ave Nw
Marysville, WA 98206

Mailing Address:
8508 52nd St Se, Snohomish, WA 98290

Union Status: NonUnion

SIC:1751

NAICS: 238130/Framing Contractors

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/20/2004

Emphasis: L:Walep

Case Closed: 12/03/2004

Related Activity
Type	Activity Nr	Safety	Health
Accident	101197739

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations	2					2
Initial Penalty	$600	$0	$0	$0	$0	$600
Current Penalty	$600	$0	$0	$0	$0	$600
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
1.	01001A	Serious	15524510	10/22/2004	08/30/2004	$500	$500	$0	-
2.	01001B	Serious	1552450501	10/22/2004	08/30/2004	$0	$0	$0	-
3.	01002	Serious	1550048002 D	10/22/2004	08/30/2004	$100	$100	$0	-

Investigation Summary

Investigation Nr: 202364212

Event: 08/30/2004

Employee is killed after a fall while framing new residence

On August 30, 2004, an employee was framing a new residence. He fell from 11 ft 7 in. from the top plate, head first to the concrete floor. He was killed.

Keywords: HEAD, CARPENTER, CONSTRUCTION, FALL, FALL PROTECTION, WORK SURFACE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	307934380			Fatality	Other	Occupation not reported

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