Inspection Detail

Inspection: 305792095 - Creative Design & Machine, Inc.

Inspection Information - Office: Albany Area Office

Inspection Nr: 305792095

Report ID: 0213100

Date Opened: 11/24/2003

Site Address:
Creative Design & Machine, Inc.
197 Stone Castle Rd.
Rock Tavern, NY 12575

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:3469

NAICS: 332116/Metal Stamping

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 11/24/2003

Planning Guide: Safety-Manufacturing

Emphasis: L:Fall, N:Amputate, S:Amputations, S:Construction Fatalities

Case Closed: 02/18/2004

Related Activity
Type	Activity Nr	Safety	Health
Accident	100741099

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	4			2		6
Current Violations	4			2		6
Initial Penalty	$4,400	$0	$0	$600	$0	$5,000
Current Penalty	$2,860	$0	$0	$195	$0	$3,055
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	Latest Event
1.	01001	Serious	19100212 A01	01/12/2004	02/29/2004	$520	$800	$0	I - Informal Settlement
2.	01002	Serious	19100212 A03 II	01/12/2004	01/30/2004	$650	$1,000	$0	I - Informal Settlement
3.	01003	Serious	19100303 G01 II	01/12/2004	01/30/2004	$390	$600	$0	I - Informal Settlement
4.	01004	Serious	19260501 B10	01/12/2004	01/15/2004	$1,300	$2,000	$0	I - Informal Settlement
5.	02001	Other	19040029 A	01/12/2004	02/14/2004	$195	$300	$0	I - Informal Settlement
6.	02002	Other	19040039 A	01/12/2004	01/15/2004	$0	$300	$0	I - Informal Settlement

Investigation Summary

Investigation Nr: 200741486

Event: 11/14/2003

Employee killed after being blown off the roof with tarp

On November 14, 2003, an employee was repositioning and repairing a tarp on the storage building. The wind conditions that day were between 45 to 60 mph, according to news and police reports. The wind caught the tarp while the employee had a hold of the rope that was tied to the tarp and pulled the employee off the roof. The employee landed head first on the concrete slab 20-ft, 2-in. below the eave edge of the roof where he was working. He was killed.

Keywords: HEAD, HIGH WIND, FALL

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	305792095			Fatality	Other	Occupation not reported

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