Inspection Detail

Case Status: CLOSED

Inspection: 699258.015 - Ivan Martinez

Inspection Information - Office: Fort Worth Area Office

Inspection Nr: 699258.015

Report ID: 0636900

Date Opened: 10/19/2012

Site Address:
Ivan Martinez
2040 Sterling Trace
Keller, TX 76248

Mailing Address:
4840 Ohio Garden Rd,, Fort Worth, TX 76114

Union Status: NonUnion

SIC:

NAICS: 238110/Poured Concrete Foundation and Structure Contractors

Inspection Type: Fat/Cat

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/21/2012

Emphasis: L:Constr6

Case Closed: 05/06/2013

Related Activity
Type	Activity Nr	Safety	Health
Accident	627590

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	3					3
Current Violations	3					3
Initial Penalty	$8,400	$0	$0	$0	$0	$8,400
Current Penalty	$8,400	$0	$0	$0	$0	$8,400
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citation Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Latest Event
1.	01001	Serious	5A0001	04/12/2013	05/01/2013	$2,800	$2,800	$0	Z - Issued
2.	01002	Serious	19260020 B02	04/12/2013	05/01/2013	$2,800	$2,800	$0	Z - Issued
3.	01003	Serious	19260021 B02	04/12/2013	05/01/2013	$2,800	$2,800	$0	Z - Issued

Investigation Summary

Investigation Nr: 32095.015

Event: 10/19/2012

Employee operating a skid loader was struck-by the arm lift

At 7:30 p.m. on October 19, 2012, an employee was cleaning up the site, operating a Mustang front skid loader. The employee was found by coworkers who had been working at another site. The employee operating the skid loader was found in-between the front tires and the body of the vehicle with the bucket on the employee. The employee was struck-by the load lift arm. The employee sustained blunt force trauma to the head and was killed.

Keywords: Caught In, Head, Loader, Loader Bucket, Seat Belt, Struck By, Suspended Load

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	699258.015	34	M	Fatality		Laborers, except construction

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