Inspection Detail

Inspection: 313623472 - Industrial Builders, Inc.

Inspection Information - Office: Bismarck Area Office

Inspection Nr: 313623472

Report ID: 0830300

Date Opened: 08/18/2009

Site Address:
Industrial Builders, Inc.
Medina Bridge
Medina, ND 58467

Mailing Address:
P.O. Box 406, Fargo, ND 58107

Union Status: NonUnion

SIC:1622

NAICS: 237310/ Highway, Street, and Bridge Construction

Inspection Type: Accident

Scope: Complete

Advanced Notice: Y

Ownership: Private

Safety/Health: Safety

Close Conference: 08/18/2009

Emphasis: L:Fall, S:Commercial Constr, S:Fall From Height, S:Hwy Street Bridge Constr, S:Powered Ind Vehicle, S:Struck-By

Case Closed: 10/14/2009

Related Activity
Type	Activity Nr	Safety	Health
Accident	100332840

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations	2					2
Initial Penalty	$6,750	$0	$0	$0	$0	$6,750
Current Penalty	$5,063	$0	$0	$0	$0	$5,063
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	Note
1.	01001	Serious	5A0001	09/14/2009	09/21/2009	$3,375	$4,500	$0		I - Informal Settlement
2.	01002	Serious	19260501 B01	09/14/2009	09/21/2009	$1,688	$2,250	$0		I - Informal Settlement

Investigation Summary

Investigation Nr: 200332211

Event: 08/17/2009

Employee Is Killed in Fall from Bridge

At approximately 2:50 p.m. on August 17, 2009, Employee #1 was placing a fabric on a concrete pour for a new overpass on Interstate 94 at the Medina, North Dakota, exit. Concrete for an overpass was poured that morning. A layer of burlap was placed over the concrete and fabric was being placed over the burlap. Employee #1 was bending over nailing the fabric down. The wind increased during the day and was blowing between 20 to 30 miles per hour with stronger wind gusts. A gust of wind picked up the fabric and the fabric pushed Employee through the midrail of a guardrail system. The midrail broke, and Employee #1 fell approximately 22 ft to the ground. He sustained head injuries and was killed.

Keywords: HEAD, HIGH WIND, COVER, GUARDRAIL, CONSTRUCTION, FALL, BRIDGE, CONCUSSION, TEXTILE, CONCRETE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	313623472			Fatality	Concussion	Occupation not reported

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