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Inspection Detail
Inspection: 1611341.015 - 104852 - Elk River Operations Llc
Inspection Information - Office: Minnesota Department Of Labor And Industry
Site Address:
104852 - Elk River Operations Llc
11124 183rd Circle Nw
Elk River, MN 55330
Mailing Address:
3300 Rice St, Suite 100, Saint Paul, MN 55126
Union Status: NonUnion
SIC:
NAICS: 623312/Homes for the Elderly
Inspection Type: Unprog Rel
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 01/10/2023
Emphasis:
Case Closed: 06/23/2023
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1921412 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $9,900 | $0 | $0 | $0 | $0 | $9,900 |
| Current Penalty | $3,000 | $0 | $0 | $2,500 | $0 | $5,500 |
| 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 | Other | 19100030 A01 | 01/11/2023 | 06/17/2023 | $2,500 | $4,950 | $0 | 01/30/2023 | F - Formal Settlement | |
| 2. | 01002 | Serious | 19100067 C02 V | 01/11/2023 | 01/15/2023 | $3,000 | $4,950 | $0 | 01/30/2023 | F - Formal Settlement |
Investigation Summary
At 12:00 a.m. on July 19, 2022, two employees were working in a boom lift truck, straightening a flagpole with a strap attached between the boom lift's bucket and the flagpole at approximately 30 feet above the ground. The strap then broke, causing the boom lift to catapult the two employees out of their respective buckets. One employee died due to head injury. The other employee sustained broken bones, a leg laceration, and a head injury and was hospitalized.
Keywords: Blunt force trauma, Boom, Boom Truck, Broken Bone, Fall, Fall From Elevation, Head, Laceration, Leg
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1611341.015 | 63 | M | Hospitalized injury | Occupation not reported |