Inspection Detail

Inspection: 313140493 - Statema Backhoe Service Llc

Inspection Information - Office: Minnesota Department Of Labor And Industry

Inspection Nr: 313140493

Report ID: 0552700

Date Opened: 04/21/2009

Site Address:
Statema Backhoe Service Llc
33365 235th Ave
Browerville, MN 56438

Mailing Address:
28189 County Rd 18, Browerville, MN 56438

Union Status: NonUnion

SIC:1623

NAICS: 237110/Water and Sewer Line and Related Structures Construction

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/08/2009

Emphasis:

Case Closed: 10/15/2010

Related Activity
Type	Activity Nr	Safety	Health
Accident	100511765

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	3					3
Current Violations	2			1		3
Initial Penalty	$4,550	$0	$0	$0	$0	$4,550
Current Penalty	$2,500	$0	$0	$500	$0	$3,000
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	Contest	Latest Event
1.	01001	Other	19260651 J02	09/18/2009	09/22/2009	$500	$1,050	$0	10/06/2009	F - Formal Settlement
2.	01002	Serious	19260651 K01	09/18/2009	09/22/2009	$1,250	$1,750	$0	10/06/2009	F - Formal Settlement
3.	01003	Serious	19260652 A01	09/18/2009	09/22/2009	$1,250	$1,750	$0	10/06/2009	F - Formal Settlement

Investigation Summary

Investigation Nr: 200514826

Event: 04/17/2009

Employee Is Killed in Trench Cave-In

On April 17, 2009, Employee #1 was working in a 10 ft trench installing a water line. The trench collapsed, crushing Employee #1, who died of asphyxiation.

Keywords: ASPHYXIATED, COLLAPSE, PPE, TRENCH, CRUSHED, CAVE-IN

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	313140493			Fatality	Asphyxia	Occupation not reported

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