Inspection Detail

Inspection: 317448652 - Harold Shouse Dba Harold'S Affordable Log Homes

Inspection Information - Office: Nc Department Of Labor - Winston-Salem

Inspection Nr: 317448652

Report ID: 0453720

Date Opened: 12/10/2013

Site Address:
Harold Shouse Dba Harold'S Affordable Log Homes
1622 Catawba Falls Parkway - Lot # 187
Black Mountain, NC 28711

Mailing Address:
9160 Red Bank Road, Germanton, NC 27019

Union Status: NonUnion

SIC:1751

NAICS: 238130/Framing Contractors

Inspection Type: Accident

Scope: No Insp/Other

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference:

Planning Guide: Health-Construction

Emphasis:

Case Closed: 12/13/2013

Related Activity
Type	Activity Nr	Safety	Health
Accident	100077080

Investigation Summary

Investigation Nr: 200075596

Event: 12/06/2013

Owner Is Killed When Thrown from Forklift

On December 6, 2013, Employee #1, the owner of a company that specialized in building log homes, was performing exterior carpentry at a residential building site. He was operating a rough terrain forklift. He lost control of the forklift, which rolled down a steep incline. Employee #1 was thrown from the forklift and killed.

Keywords: EJECTED, CARPENTER, LOG, EQUIPMENT OPERATOR, MACHINE OPERATOR, CONSTRUCTION, STEEP GRADE, INDUSTRIAL TRUCK, LOST CONTROL

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	317448652			Fatality	Other	Occupation not reported

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