Inspection Detail

Inspection: 316285592 - Refined Llc

Inspection Information - Office: Minnesota Department Of Labor And Industry

Inspection Nr: 316285592

Report ID: 0552700

Date Opened: 01/20/2012

Site Address:
Refined Llc
4101 45th Ave W
Edina, MN 55424

Mailing Address:
4010 Grimes Ave S, Edina, MN 55416

Union Status: NonUnion

SIC:1521

NAICS: 236115/New Single-Family Housing Construction (except Operative Builders)

Inspection Type: Unprog Rel

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 05/29/2012

Emphasis:

Case Closed: 06/05/2012

Related Activity
Type	Activity Nr	Safety	Health
Accident	100512540

Investigation Summary

Investigation Nr: 200515526

Event: 01/20/2012

Employee Is Injured When Struck by Falling Truss, Later Dies

On January 20, 2012, Employee # 1 was working on a multiple employers' construction site for residential home. Employee # 1 and coworkers were positioning trusses above an exterior doorway, and attaching the trusses to the support framework. Employee #1 and Employee # 2 with five trusses were elevated approximately fourteen-feet above ground-level on a platform by a rough-terrain forklift. Employee # 1 lost his balance and fell from the platform to the ground below, and landed on his feet. Employee # 1 was struck in the head by one of the trusses as he stands on the ground. Employee # 1 immediately fell to the ground unconscious, and sustained severe head-wound. Employee # 1 later died at the hospital.

Keywords: HEAD, INDUSTRIAL TRUCK, LOST BALANCE, WORK PLATFORM, TRUSS, STRUCK BY

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	316285592					Occupation not reported

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