Inspection Detail

Inspection: 309985505 - Eagles Aerie #873

Inspection Information - Office: Minnesota Department Of Labor And Industry

Inspection Nr: 309985505

Report ID: 0552700

Date Opened: 05/04/2006

Site Address:
Eagles Aerie #873
105 1/2 S Broadway
Crookston, MN 56716

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:8641

NAICS: 813410/Civic and Social Organizations

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 05/18/2006

Emphasis:

Case Closed: 07/12/2006

Related Activity
Type	Activity Nr	Safety	Health
Accident	100510882

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations	2					2
Initial Penalty	$900	$0	$0	$0	$0	$900
Current Penalty	$900	$0	$0	$0	$0	$900
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	19100023 D01 IV	06/15/2006	06/19/2006	$450	$450	$0	-
2.	01001B	Serious	19100023 E05 II	06/15/2006	06/19/2006	$0	$0	$0	-
3.	01002	Serious	5205014001	06/15/2006	06/19/2006	$450	$450	$0	-

Investigation Summary

Investigation Nr: 200514131

Event: 04/29/2006

Employee Is Killed in Fall from Stairs

Employee #1 was descending the stairway and was on the eighth step from the bottom, when he fell and lost consciousness. He died later that day of head injuries.

Keywords: HEAD, STAIR, UNCONSCIOUSNESS, STRUCK AGAINST, WALKING SURFACE, FALL, CONCUSSION, LOST BALANCE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	309985505			Fatality	Concussion	Janitors and cleaners

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