Inspection Detail

Inspection: 2899540 - Arrow Builders

Inspection Information - Office: Minnesota Department Of Labor And Industry

Inspection Nr: 2899540

Report ID: 0552700

Date Opened: 01/10/1986

Site Address:
Arrow Builders
501 Theo Wirth Pkw.
Golden Valley, MN 55427

Mailing Address:
2775 101st Ave. Ne., Blaine, MN 55434

Union Status: Union

SIC:1751

NAICS: 0

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 01/10/1986

Emphasis:

Case Closed: 05/05/1988

Related Activity
Type	Activity Nr	Safety	Health
Accident	360760599

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations	1					1
Initial Penalty	$160	$0	$0	$0	$0	$160
Current Penalty	$160	$0	$0	$0	$0	$160
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	19260602 C01 VI	01/24/1986	01/25/1986	$160	$160	$0		-

Investigation Summary

Investigation Nr: 690370

Event: 01/03/1986

Employees injured when catapulted from tipping forklift

At approximately 8:00 a.m. on January 3, 1986, Employees #1 and #2 were on a platform elevated by a forklift, preparing to place wood siding on the exterior of a building. While the forklift operator was trying to position the platform against the building, the forklift tipped over, catapulting Employees #1 and #2 from the elevated work platform. Employee #1 sustained a mild concussion, swollen disc, and bruises over his body. He was hospitalized. Employee #2 was bruised on the back of both of his legs.

Keywords: HEAD, WORK RULES, INDUSTRIAL TRUCK, CONCUSSION, ELEVATED WORK PLAT, CONTUSION, LEG, OVERTURN, EJECTED, CONSTRUCTION

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	2899540			Hospitalized injury	Concussion	Carpenters
2	2899540			Non Hospitalized injury	Bruise/Contus/Abras	Carpenters

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