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Inspection Detail
Inspection: 312562226 - Electric Mirror Llc
Inspection Information - Office: Dosh Everett Service Location, Everett, Wa
Site Address:
Electric Mirror Llc
11831 Beverly Park Rd Bldg D
Everett, WA 98204
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:5023
NAICS: 423220/Home Furnishing Merchant Wholesalers
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/31/2008
Emphasis: L:Wasafety
Case Closed: 03/10/2016
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102368974 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $5,100 | $0 | $0 | $0 | $0 | $5,100 |
| Current Penalty | $5,100 | $0 | $0 | $0 | $0 | $5,100 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Serious | 80011010 | 12/09/2008 | 09/26/2008 | $3,300 | $3,300 | $0 | - | ||
| 2. | 01002 | Serious | 80014005 | 12/09/2008 | 12/27/2008 | $1,800 | $1,800 | $0 | - |
Investigation Summary
On September 26, 2008, Employee #1 and his supervisor were moving a cradle with approximately 1,000 pounds of crated glass stock with two pallet jacks. The load toppled and struck Employee #1 in the head, killing him.
Keywords: HEAD, CAUGHT BETWEEN, CRUSHED, INDUSTRIAL TRUCK, PALLET, STRUCK BY, CONCUSSION, FALLING OBJECT
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 312562226 | Fatality | Bruise/Contus/Abras | Occupation not reported |