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Inspection Detail
Inspection: 308565985 - Mn Conference Of Seventh Day Adventists
Inspection Information - Office: Minnesota Department Of Labor And Industry
Site Address:
Mn Conference Of Seventh Day Adventists
1220 S Mcknight Rd
Maplewood, MN 55119
Mailing Address:
7384 Kirkwood Ct, Maple Grove, MN 55369
Union Status: NonUnion
SIC:8211
NAICS: 611110/Elementary and Secondary Schools
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 04/22/2005
Emphasis:
Case Closed: 11/03/2009
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 100510478 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | 2 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $25,000 | $0 | $0 | $2,500 | $0 | $27,500 |
| Current Penalty | $25,000 | $0 | $0 | $0 | $0 | $25,000 |
| 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 | 19100029 A03 I | 05/02/2005 | 05/06/2005 | $25,000 | $25,000 | $0 | 05/19/2005 | F - Formal Settlement | |
| 2. | 02001 | Other | 19040039 A | 05/02/2005 | 05/06/2005 | $0 | $2,500 | $0 | 05/19/2005 | F - Formal Settlement |
Investigation Summary
On December 23, 2004, Employee #1 was removing a temporary light fixture from the ceiling area of a gym. Employee #1 was 19 ft above ground using an Up-Right Tallescope unit to access the light fixture. While removing the light fixture, Employee #1 fell off the unit. Employee #1 failed to lock the wheels and extend the outriggers on the unit. There were no witnesses to the accident, and it is believed that Employee #1 tried to jump onto the stage as the unit was falling over, hit the stage and landed on the concrete floor. Employee #1 was able to drag himself several feet before he died.
Keywords: WHEEL, MAINTENANCE, OUTRIGGER, INDUSTRIAL TRUCK, PIT, FALL
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 308565985 | Fatality | Other | Occupation not reported |