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Inspection Detail

Inspection: 110637618 - Navy Public Works Center

Inspection Information - Office: Region 09; San Francisco

 

Inspection Nr: 110637618
Report ID: 0931300
Date Opened: 06/12/1992

Site Address:
Navy Public Works Center
Co Npwc, Pearl Harbor - Code 09a
Pearl Harbor, HI 96860

Mailing Address:
, , 00000

Union Status: Union

SIC:4939

NAICS: 0 

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership:  

Safety/Health: Safety

Close Conference: 07/27/1992

Emphasis:

Case Closed: 02/12/1993

Related Activity
Type Activity Nr Safety Health
Accident 360635494
Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 5 1 1 2 9
Current Violations 5 1 1 2 9
Initial Penalty $0 $0 $0 $0 $0 $0
Current Penalty $0 $0 $0 $0 $0 $0
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 19260020 B02 12/04/1992 12/07/1992 $0 $0 $0 -  
2. 01002 Serious 19260021 B02 12/04/1992 12/07/1992 $0 $0 $0 -  
3. 01003 Serious 19260300 B01 12/04/1992 12/16/1992 $0 $0 $0 -  
4. 01004 Serious 10201 A 12/04/1992 12/16/1992 $0 $0 $0 -  
5. 01005 Serious 19600059 A 12/04/1992 12/16/1992 $0 $0 $0 -  
6. 02001A Willful 19260300 D02 12/04/1992 12/16/1992 $0 $0 $0 -  
7. 02001B Willful 19260301 A 12/04/1992 12/16/1992 $0 $0 $0 -  
8. 03001 Repeat 19260059 H 12/04/1992 12/16/1992 $0 $0 $0 -  
9. 04001 Other 19260059 G08 12/04/1992 12/16/1992 $0 $0 $0 -  
10. 04002 Other 19260350 J 12/04/1992 12/07/1992 $0 $0 $0 -  

Investigation Summary

Investigation Nr: 515783
Event: 06/11/1992
Employee killed when crushed by falling wharf beam

At approximately 1:00 p.m. on June 11, 1992, Employee #1 and a coworker were assigned to tighten the nuts and bolts on the cappings for a floating wharf. They found some nuts that had a different outside diameter and decided to change these. Employee #1 lay on the ground under the capping holding the countersunk nut with a wrench. The coworker was on top of the capping using an impact wrench to loosen the bolt. Not realizing that the nut and bolt were critical in supporting the cross beam, Employee #1 told the coworker to reverse the drill and loosen the bolt, causing the 12 in. by 12 in. by 14 ft, 560 lb beam to fall. The beam crushed Employee #1's head, killing him.

Keywords: BEAM, HEAD, MAINTENANCE, DOCK, UNSECURED, CRUSHED, BOLT, STRUCK BY, FALLING OBJECT, INATTENTION

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 110637618 Fatality Concussion Occupation not reported
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