Inspection Detail
Inspection: 316133503 - Black River Builders Llc
Inspection Information - Office: Miosha Construction Safety & Health Division
Site Address:
Black River Builders Llc
200 Maple St Nw
Sparta, MI 49345
Mailing Address:
731 Construction Ct, Zeeland, MI 49464
Union Status: NonUnion
SIC:1791
NAICS: 238120/Structural Steel and Precast Concrete Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 08/10/2012
Planning Guide: Safety-Construction
Emphasis:
Case Closed: 08/20/2017
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101404275 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 1 | 4 | |||
| Current Violations | 3 | 1 | 4 | |||
| Initial Penalty | $8,400 | $28,000 | $0 | $0 | $0 | $36,400 |
| Current Penalty | $8,400 | $28,000 | $0 | $0 | $0 | $36,400 |
| 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 | 4084011402 D | 09/28/2012 | 10/03/2012 | $2,800 | $2,800 | $0 | 12/10/2012 | F - Formal Settlement | |
| 2. | 01002 | Serious | 4084203101 | 09/28/2012 | 10/03/2012 | $2,800 | $2,800 | $0 | 12/10/2012 | F - Formal Settlement | |
| 3. | 01003 | Serious | 4084203109 | 09/28/2012 | 10/03/2012 | $2,800 | $2,800 | $0 | 12/10/2012 | F - Formal Settlement | |
| 4. | 02001 | Willful | 40842032 | 09/28/2012 | 10/03/2012 | $28,000 | $28,000 | $0 | 12/10/2012 | A - Amendment |
Investigation Summary
On July 2, 2012, Employee #1 was replacing a roof. As he worked, he lost his balance and fell approximately 25 ft. He struck the ground and sustained traumatic injuries that killed him.
Keywords: ROOF, FALL, LOST BALANCE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 316133503 | Fatality | Other | Occupation not reported |
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