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Occupational Safety and Health Administration OSHA

Inspection Detail

Case Status: CLOSED

Case Status: CLOSED

Violation Summary
Serious Willful Repeat Other Unclass Total
Initial Violations 5 1 6
Current Violations 3 3 6
Initial Penalty $26,000 $0 $0 $0 $0 $26,000
Current Penalty $14,000 $0 $0 $5,500 $0 $19,500
FTA Amount $0 $0 $0 $0 $0 $0

Violation Items
# ID Type Standard Issuance Abate Curr$ Init$ Fta$ Contest LastEvent
Deleted 1. 01001A Serious 19100146 C01 11/13/2012 12/03/2012 $7,000 $7,000 $0 I - Informal Settlement
  2. 01001B Serious 19100146 C02 11/13/2012 11/26/2012 $3,250 $0 $0 I - Informal Settlement
  3. 01002A Serious 19100146 C04 11/13/2012 12/17/2012 $6,500 $7,000 $0 I - Informal Settlement
  4. 01002B Serious 19100146 G01 11/13/2012 12/03/2012 $0 $0 $0 I - Informal Settlement
  5. 01003 Other 19100147 F02 II 11/13/2012 12/10/2012 $3,250 $4,000 $0 I - Informal Settlement
  6. 01004 Other 19100151 C 11/13/2012 12/17/2012 $2,250 $3,000 $0 I - Informal Settlement
  7. 01005 Serious 19100303 B07 I 11/13/2012 $4,250 $5,000 $0 I - Informal Settlement
  8. 02001 Other 19101030 H05 I A 11/13/2012 12/10/2012 $0 $0 $0 I - Informal Settlement

Accident Investigation Summary
Summary Nr: 16575.015 Event: 05/14/2012Employee Is Struck By Elevator And Is Killed
At approximately 11:27 a.m. on May 14, 2012, Employee #1 accessed an elevator sh aft to retrieve a set of keys dropped by a coworker. The keys fell between the e levator car and first floor and landed below the elevator car in the elevator sh aft. There were two elevator cars that operate in the elevator shaft. The keys fell below Car Number 2. The cars could be stopped by four means, which were: on /off switch inside the car door, a door lock (prevents the car from moving if do ors are open), key switch located inside the elevator and an electrical disconne ct (breaker) on the third floor. Employee #1 flipped the power switch (like a li ght switch) that was located inside the car behind the doors that stopped Car Nu mber 2. Employee #1 then removed the access panel inside the car. The access pa nel could be removed with a flat head screwdriver and measured 76 in. tall by 16 in. wide. There was a 6 in. wide beam that ran horizontally between the two car s in the shaft. The beam was parallel to the first floor. There was a 10 ft met al ladder welded to the beam that Employee #1 used to access the bottom of the s haft. The ladder was on Car Number 1 side of the elevator shaft. Employee #1 did not turn off the power controls to Car Number 1 or isolate the energy of Car Nu mber 1. As Employee #1 was going down the ladder, Car Number 1 came down from on e of the floors above and struck Employee #1 in the head, decapitating and killi ng him.
Keywords: elevator, head, lockout/tagout, struck by
Inspection Degree Nature Occupation
1 427054.015 Fatality Machinery maintenance occupations

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