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Inspection Detail
Inspection: 316480763 - Premium Window & Siding Inc
Inspection Information - Office: Minnesota Department Of Labor And Industry
Site Address:
Premium Window & Siding Inc
213 2nd St
Claremont, MN 55924
Mailing Address:
1103 11th Ave Ne, Rochester, MN 55906
Union Status: NonUnion
SIC:1521
NAICS: 236118/Residential Remodelers
Inspection Type: Unprog Rel
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 06/07/2012
Emphasis:
Case Closed: 12/03/2015
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 100512599 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $625 | $0 | $0 | $0 | $0 | $625 |
| Current Penalty | $625 | $0 | $0 | $0 | $0 | $625 |
| 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 | 19260451 G01 | 06/21/2012 | 06/25/2012 | $625 | $625 | $0 | - |
Investigation Summary
On April 2, 2012, an employee was working as a capenter. He was the sole proprietor of Rumstick Construction LLC. He was one of two independent contractors who had been hired by Premium Windows and Siding to remove and replace the shingles on a two-story home in Claremont, MN. He fell approximately 14 feet (4.3 meters) while accessing a ladder. He sustained bruises, contusions, and abrasions. He died from his injuries on the following day. Due to the fatality, the company no longer existed.
Keywords: LADDER, ABRASION, LOST BALANCE, CONTUSION, CONSTRUCTION, FALL
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 316480763 | Occupation not reported |