Inspection Detail

Inspection: 115428963 - Pac Key Inc

Inspection Information - Office: Dosh Seattle Service Location, Seattle, Wa

Inspection Nr: 115428963

Report ID: 1055320

Date Opened: 04/14/1995

Site Address:
Pac Key Inc
6 South Idaho St
Seattle, WA 98134

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:3547

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 04/19/1995

Emphasis:

Case Closed: 11/08/1999

Related Activity
Type	Activity Nr	Safety	Health
Accident	361215429

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				3		3
Current Violations				3		3
Initial Penalty	$0	$0	$0	$0	$0	$0
Current Penalty	$0	$0	$0	$0	$0	$0
FTA Penalty	$0	$0	$0	$1,000	$0	$1,000

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Latest Event
1.	01001	Other	0242302707	05/05/1995	04/19/1995	$0	$0	$0	-
2.	01002	Other	0242303301	05/05/1995	04/19/1995	$0	$0	$0	-
3.	01003	Other	0240004001 B	05/05/1995	05/23/1995	$0	$0	$1,000	-

Investigation Summary

Investigation Nr: 170047518

Event: 04/14/1995

Employee killed when crushed by mast of forklift

At approximately 8:00 a.m., Employee #1 was loading a flatbed trailer with 24 ft. long fire suppression system pipe using a Nissan model NFG103 forklift. He positioned the forklift at the front of the trailer and attempted to view the top of the load to complete a job order form load chart. Employee #1 stood up in the lift truck, his upper torso positioned out through the front of the cab between the mast and the cab. He accidentally activated the tilt control, and the mast crushed him. Employee #1 died at approximately 8:48 a.m. of asphyxiation at Harborview Hospital, Seattle, WA.

Keywords: CHEST, LOADING, ASPHYXIATED, IND TRK OPERATOR, WORK RULES, CAUGHT BETWEEN, CRUSHED, INDUSTRIAL TRUCK, INATTENTION

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	115428963			Fatality	Asphyxia	Occupation not reported

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