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Occupational Safety and Health Administration OSHA

Inspection Detail

Note: The following inspection has not been indicated as closed. Please be aware that the information shown may change, e.g. violations may be added or deleted. For open cases, in which a citation has been issued, the citation information may not be available for 5 days following receipt by the employer for Federal inspections or for 30 days following receipt by the employer for State inspections.

Inspection: 1498326.015 - Lakota 04, Inc.

Inspection Information - Office: Chicago North

Nr: 1498326.015Report ID: 0524200Open Date: 10/20/2020

Lakota 04, Inc.
823 Adler Ct.
Schaumburg, IL 60194
Union Status: NonUnion
SIC:
NAICS: 238170/Siding Contractors
Mailing: 625 S. Summit Ave., Villa Park, IL 60181

Inspection Type:Fat/Cat
Scope:Partial Advanced Notice:N
Ownership:Private
Safety/Health:Safety Close Conference:10/20/2020
Emphasis: N:Rcs-Nep, L:FallClose Case:

Related Activity:TypeIDSafetyHealth
 Accident1675941    

Violation Summary
Serious Willful Repeat Other Unclass Total
Initial Violations 6 2 8
Current Violations 6 2 8
Initial Penalty $17,556 $0 $0 $0 $0 $17,556
Current Penalty $12,300 $0 $0 $0 $0 $12,300
FTA Amount $0 $0 $0 $0 $0 $0

Violation Items
# ID Type Standard Issuance Abate Curr$ Init$ Fta$ Contest LastEvent
  1. 01001 Serious 19260100 A 04/12/2021 04/16/2021 $1,800 $2,341 $0 I - Informal Settlement
  2. 01002 Serious 19260300 B01 04/12/2021 04/16/2021 $1,800 $2,341 $0 I - Informal Settlement
  3. 01003A Serious 19260405 J01 I 04/12/2021 04/16/2021 $1,800 $2,926 $0 I - Informal Settlement
  4. 01003B Serious 19260416 A01 04/12/2021 04/16/2021 $0 $0 $0 I - Informal Settlement
  5. 01004 Serious 19260501 B13 04/12/2021 04/16/2021 $3,300 $4,096 $0 I - Informal Settlement
  6. 01005 Serious 19261053 B04 04/12/2021 04/16/2021 $1,800 $2,926 $0 I - Informal Settlement
  7. 01006A Serious 19261153 C01 04/12/2021 05/13/2021 $1,800 $2,926 $0 I - Informal Settlement
  8. 01006B Serious 19261153 D02 I 04/12/2021 05/13/2021 $0 $0 $0 I - Informal Settlement
  9. 01006C Serious 19261153 G01 04/12/2021 05/13/2021 $0 $0 $0 I - Informal Settlement
  10. 01006D Serious 19261153 I01 04/12/2021 05/13/2021 $0 $0 $0 I - Informal Settlement
  11. 01006E Serious 19101200 E01 04/12/2021 06/14/2021 $0 $0 $0 I - Informal Settlement
  12. 02001 Other 19260404 F06 04/12/2021 04/16/2021 $0 $0 $0 I - Informal Settlement
  13. 02002 Other 19260416 E01 04/12/2021 04/16/2021 $0 $0 $0 I - Informal Settlement

Accident Investigation Summary
Summary Nr: 130507.015Event: 10/20/2020Employee Is Killed In Fall During Siding Installation
At 10:00 a.m. on October 20, 2020, Employee #1 was installing siding at an exist ing residential structure. He was taking measurements while working from a ladd er and the roof. The employee lost his balance and fell, a fall height of 10 fe et. His head struck the concrete pavement. Employee #1 sustained blunt force t raumatic injuries and was killed.
Keywords: blunt force trauma, brain, concrete, fall, fall protection, head, installing, ladder, lost balance, measuring device, residential construction, roof, siding, skull, struck against
Inspection Degree Nature Occupation
1 1498326.015 Fatality Carpenters

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