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### Inspection Detail

**Case Status: CLOSED**

#### **Inspection: 1498326.015 - Lakota 04, Inc.**

**Inspection Information - Office: Chicago North**

 

**Inspection Nr**

**Report ID**

**Date Opened**

----

**Site Address**: 			   Lakota 04, Inc.			   823 Adler Ct.Schaumburg, IL 60194

**Mailing Address**: 			   625 S. Summit Ave., Villa Park, IL 60181

**Union Status**: NonUnion

**SIC**:

**NAICS**: 238170/Siding Contractors

----

**Inspection Type**: Fat/Cat

**Scope**: Partial

**Advanced Notice**: N

**Ownership**: Private

**Safety/Health**: Safety

**Close Conference**: 10/20/2020

**Emphasis**:N:Rcs-Nep, L:Fall

**Case Closed**: 10/23/2023

----

**Case Status: CLOSED**

#### **Investigation Summary**

**Investigation Nr**

**Event**

At 10:00 a.m. on October 20, 2020, Employee #1 was installing siding at an existing residential structure.  He was taking measurements while working from a ladder and the roof.  The employee lost his balance and fell, a fall height of 10 feet.  His head struck the concrete pavement.  Employee #1 sustained blunt force traumatic injuries and was killed.

**Keywords:**blunt force trauma, brain, concrete, fall, fall protection, head, installing, ladder, lost balance, measuring device, residential construction, roof, siding, skull, struck against
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