Inspection Detail

Inspection: 304808074 - Insulation Midwest, Inc.

Inspection Information - Office: Minnesota Department Of Labor And Industry

Inspection Nr: 304808074

Report ID: 0552700

Date Opened: 02/27/2002

Site Address:
Insulation Midwest, Inc.
1815 4th Street Se
Minneapolis, MN 55455

Mailing Address:
2201 108th Lane Ne, Blaine, MN 55449

Union Status: Union

SIC:1742

NAICS: 0

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 05/15/2002

Planning Guide: Safety-Construction

Emphasis: S:Falls

Case Closed: 06/11/2005

Related Activity
Type	Activity Nr	Safety	Health
Accident	360315360

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations
Initial Penalty	$25,000	$0	$0	$0	$0	$25,000
Current Penalty	$0	$0	$0	$0	$0	$0
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citation Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Serious	182065302	06/24/2002	06/28/2002	$7,000	$7,000	$0	07/03/2002	F - Formal Settlement	Citation has been deleted.
2.	01002	Serious	19260021 B02	06/24/2002	06/28/2002	$18,000	$18,000	$0	07/03/2002	F - Formal Settlement	Citation has been deleted.

Investigation Summary

Investigation Nr: 200512861

Event: 02/27/2002

Employee Killed in Fall from Aerial Lift

Employee #1 was working from an aerial lift (Model Number JLG 800AJ). He was not wearing personal fall arrest protection which exposed him to a potential fall hazard of approximately 52 feet. The aerial lift partially tipped over, causing Employee #1 to be catapulted from the lift basket when a section of the lower boom came in contact with the ground. Employee #1 fell approximately 40 feet to the ground and was killed.

Keywords: BOOM, FALL, FALL PROTECTION, AERIAL LIFT

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	304808074			Fatality	Other	Occupation not reported

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