Inspection Detail
Inspection: 308045418 - Jolliffe Masonry & Construction, Inc.
Inspection Information - Office: Department Of Labor, Licensing, And Regulation Division Of Labor And Industry Maryland Occupational Safety And Health
Site Address:
Jolliffe Masonry & Construction, Inc.
9802 Pembroke Drive
Hagerstown, MD 21740
Mailing Address:
12082 Kemps Mill Road, Williamsport, MD 21795
Union Status: NonUnion
SIC:1741
NAICS: 238140/Masonry Contractors
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 11/12/2004
Planning Guide: Safety-Construction
Emphasis: S:Construction, S:Fall
Case Closed: 04/01/2005
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102356888 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 3 | 3 | ||||
| Initial Penalty | $5,150 | $0 | $0 | $0 | $0 | $5,150 |
| Current Penalty | $2,060 | $0 | $0 | $0 | $0 | $2,060 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Serious | 19260095 A | 01/28/2005 | 02/02/2005 | $420 | $1,050 | $0 | I - Informal Settlement | ||
| 2. | 02001 | Serious | 19260451 G01 | 01/28/2005 | 02/02/2005 | $420 | $1,050 | $0 | I - Informal Settlement | ||
| 3. | 03001 | Serious | 19260602 C01 VI | 01/28/2005 | 02/02/2005 | $1,220 | $3,050 | $0 | I - Informal Settlement |
Investigation Summary
At approximately 1:15 p.m. on November 10, 2004, Employee #1, a masonry construction worker, was working from an elevated basket secured to the forks of a Petibone Rough Terrain Forklift (Model Number B-68-C). The forklift was on an inclined slope of 18 to 20 degrees. Employee #1 was elevated approximately 25 feet above the ground installing a keystone at the top archway of a vestibule window above the second floor level. The forklift tipped over and fell to the ground. The accident investigation revealed that the forklift operator at the time of the accident was certified and the only witness to the accident. Employee #1 was transported to Washington County Hospital where he was pronounced dead.
Keywords: INSTALLING, CONSTRUCTION, INDUSTRIAL TRUCK, SLOPE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 308045418 | Occupation not reported |
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