Inspection Detail

Inspection: 307004838 - Synergy Management Group

Inspection Information - Office: Lubbock Area Office

Inspection Nr: 307004838

Report ID: 0627400

Date Opened: 06/09/2004

Site Address:
Synergy Management Group
6810 Us 277
Stamford, TX 79553

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:7534

NAICS: 326212/Tire Retreading

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 06/09/2004

Emphasis:

Case Closed: 10/22/2004

Related Activity
Type	Activity Nr	Safety	Health
Accident	100812197

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations	2					2
Initial Penalty	$2,250	$0	$0	$0	$0	$2,250
Current Penalty	$1,350	$0	$0	$0	$0	$1,350
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.	01003A	Serious	19100303 B01	07/07/2004	07/12/2004	$900	$1,500	$0	I - Informal Settlement
2.	01003B	Serious	19100304 F04	07/07/2004	07/12/2004	$0	$0	$0	-
3.	01004A	Serious	19100178 L01 I	07/07/2004	07/12/2004	$450	$750	$0	I - Informal Settlement
4.	01004B	Serious	19100178 L06	07/07/2004	07/12/2004	$0	$0	$0	-
5.	01004C	Serious	19100178 Q01	07/07/2004	07/12/2004	$0	$0	$0	-
6.	01004D	Serious	19100178 Q07	07/07/2004	07/12/2004	$0	$0	$0	-

Investigation Summary

Investigation Nr: 200811818

Event: 06/08/2004

Employee dies from electric shock

On June 8, 2004, Employee #1 was working on a piece of equipment, opening a door for wiring to be fed through. He was electrocuted and was observed staggering and collapsed on the floor. Employee #1 was pronounced dead.

Keywords: COLLAPSE, ELECTRIC CABLE, WORK RULES, ELECTRICIAN, ELECTROCUTED, ELECTRIC SHOCK, ELEC EQUIPMENT--MISC

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	307004838			Fatality	Electric Shock	Occupation not reported

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