Inspection Detail

Inspection: 104553342 - Bladholm Brothers Culvert Co., Inc.

Inspection Information - Office: Minnesota Department Of Labor And Industry

Inspection Nr: 104553342

Report ID: 0552700

Date Opened: 11/02/1987

Site Address:
Bladholm Brothers Culvert Co., Inc.
10100 89th Ave. N.
Maple Grove, MN 55369

Mailing Address:
P.O. Box 326, Hwy. 152 West, Osseo, MN 55369

Union Status: Union

SIC:3272

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 11/13/1987

Emphasis:

Case Closed: 02/18/1993

Related Activity
Type	Activity Nr	Safety	Health
Accident	360316178

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations	1					1
Initial Penalty	$455	$0	$0	$0	$0	$455
Current Penalty	$300	$0	$0	$0	$0	$300
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Serious	5205075002	12/02/1987	12/05/1987	$300	$455	$0	12/22/1987	R - Review Commission

Investigation Summary

Investigation Nr: 999458

Event: 10/30/1987

EMPLOYEE KILLED WHEN RUN OVER BY CONCRETE TRUCK

ON OCTOBER 30, 1987, EMPLOYEE #1, A SIDE VIBRATOR OPERATOR ON A 110 FOOT BRIDGE FORM, STEPPED BACKWARD INTO THE PATH OF A CONCRETE DELIVERY AND DISTRIBUTION TRUCK AS IT WAS BACKING INTO POSITION. THE CEMENT TRUCK HAD NO BACK-UP ALARM NOR WAS A GUIDE UTILIZED. IT WAS VERY NOISY AT THE WORKSITE (APPOXIMATELY 112 DBA) AND THE EMPLOYEE WAS WEARING HEARING PROTECTION PLUGS IN HIS EARS. HE WAS STRUCK AND RUN OVER BY THE RIGHT REAR DUALS. HE SUFFERED INJURIES TO HIS ARMS AND LEGS AND A FATAL HEAD INJURY. THE TRUCK OPERATOR WAS RELATIVELY INEXPERIENCED (A "FILL-IN" DRIVER). EMPLOYEE #1 WAS A RECENT HIRE WITH UNDER TWO HOURS EXPERIENCE AT HIS ASSIGNED TASK.

Keywords: BACK-UP ALARM, HEAD, TRUCK, NOISE, STRUCK BY, ARM, RUN OVER, BACKING UP, INATTENTION, LEG

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	104553342			Fatality	Other	Laborers, except construction

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