Inspection Detail
Inspection: 310669536 - Annapolis Valley Development, Llc
Inspection Information - Office: Boston South Area Office
Site Address:
Annapolis Valley Development, Llc
5 Olde Village Square
Medfield, MA 02052
Mailing Address:
144 Granite Street, Medfield, MA 02052
Union Status: NonUnion
SIC:1522
NAICS: 236116/New Multifamily Housing Construction (except Operative Builders)
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 02/14/2007
Emphasis: L:Fall, S:Residential Constr
Case Closed: 06/03/2008
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 100461904 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 3 | 3 | ||||
| Initial Penalty | $13,300 | $0 | $0 | $0 | $0 | $13,300 |
| Current Penalty | $9,300 | $0 | $0 | $0 | $0 | $9,300 |
| 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. | 01001A | Serious | 19260451 A01 | 03/26/2007 | 03/29/2007 | $3,430 | $4,900 | $0 | I - Informal Settlement | ||
| 2. | 01001B | Serious | 19260451 A06 | 03/26/2007 | 07/01/2007 | $0 | $0 | $0 | I - Informal Settlement | ||
| 3. | 01002 | Serious | 19260451 E01 | 03/26/2007 | 07/01/2007 | $2,440 | $3,500 | $0 | I - Informal Settlement | ||
| 4. | 01003 | Serious | 19260451 G01 | 03/26/2007 | 07/01/2007 | $3,430 | $4,900 | $0 | I - Informal Settlement |
Investigation Summary
Employee #1 was working from a carpenters' wall bracket scaffold with fall protection. Employee #1 fell 19 ft to the ground and sustained blunt trauma to the head (concussion). Employee #1 was killed.
Keywords: HEAD, FALL, FALL PROTECTION, CONCUSSION, SCAFFOLD
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 310669536 | Fatality | Concussion | Roofers |
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