Inspection Detail

Inspection: 307190678 - Jorgensen Forge

Inspection Information - Office: Dosh Seattle Service Location, Seattle, Wa

Inspection Nr: 307190678

Report ID: 1055320

Date Opened: 12/17/2003

Site Address:
Jorgensen Forge
8531 E Marginal Way S
Seattle, WA 98108

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:3463

NAICS: 332112/Nonferrous Forging

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 05/04/2004

Emphasis: L:Wasafety

Case Closed: 01/15/2008

Related Activity
Type	Activity Nr	Safety	Health
Accident	101197366

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	4		1			5
Current Violations	4		1			5
Initial Penalty	$4,950	$0	$500	$0	$0	$5,450
Current Penalty	$3,650	$0	$375	$0	$0	$4,025
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
1.	01001	Repeat	0242351504	06/15/2004	12/17/2004	$375	$500	$0	07/02/2004	Y - State Decision
2.	02001	Serious	0241500101	06/15/2004	06/23/2004	$1,650	$2,250	$0	07/02/2004	Y - State Decision
3.	02002	Serious	0241651901	06/15/2004	12/17/2003	$200	$250	$0	07/02/2004	Y - State Decision
4.	02003	Serious	0242050103	06/15/2004	09/30/2004	$1,650	$2,250	$0	07/02/2004	Y - State Decision
5.	02004	Serious	0242942301	06/15/2004	12/17/2003	$150	$200	$0	07/02/2004	Y - State Decision

Investigation Summary

Investigation Nr: 202351441

Event: 12/16/2003

Employee become tangled in unguarded shaft and killed

On December 15, 2003, an employee was working at a vertical milling machine. He became tangled in an unguarded shaft and was killed.

Keywords: ASPHYXIATED, STUCK, MACHINE OPERATOR, MILLING MACHINE, CAUGHT BETWEEN, SHAFT, UNGUARDED

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	307190678			Fatality	Asphyxia	Occupation not reported

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