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Inspection Detail
Inspection: 313843161 - Alpine Floor Design
Inspection Information - Office: Dosh Everett Service Location, Everett, Wa
Site Address:
Alpine Floor Design
2515 196th St Se
Lynnwood, WA 98036
Mailing Address:
1667 Se Tacoma Street, Portland, OR 97202
Union Status: NonUnion
SIC:1752
NAICS: 238330/Flooring Contractors
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 01/21/2010
Emphasis: L:Constr
Case Closed: 04/23/2010
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102369378 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $2,400 | $0 | $0 | $0 | $0 | $2,400 |
| Current Penalty | $2,400 | $0 | $0 | $0 | $0 | $2,400 |
| 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 | 15524510 | 02/05/2010 | 11/12/2009 | $1,200 | $1,200 | $0 | 02/26/2010 | L - State Settlement | |
| 2. | 01002 | Serious | 1550011002 | 02/05/2010 | 02/28/2010 | $1,200 | $1,200 | $0 | 02/26/2010 | L - State Settlement |
Investigation Summary
On November 12, 2009, Employee #1 was working for a flooring contractor. A section of carpet was in a container that had been raised on a reach forklift up to a fourth-floor window. Employee #1 climbed out the window to move the carpet into the room, and he fell. He sustained abdominal injuries, and he was killed.
Keywords: ABDOMEN, CARPET, INDUSTRIAL TRUCK, FALL
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 313843161 | Fatality | Other | Occupation not reported |