U.S. DOL OSHA CASE FILE DIARY SHEET ~ Follow~up Inspection CSHO # Inspection Complaint # 314 3 5 ~ \ 5" 4 # Establishment Site Address City B V'"o... ol eV\. Y"' by; l t ? ss....o.ole 'i ~ K; ~ ? '^j, L L r? / C. -i:L? S; ~ 0.....4. 'Ko Zip Code 5 V"'\ \A 0\. State NY - \ 3 ,....., 'i ~ l.. \.1 Er's Phone # 301..\ 1..\ ? 3>- \ %0 Er's Fax # 3 OY - 4 ?;:.- L... Er's Cell Phone # NACIS Code )( Non Union Union SIC /3 B I U.S. DOL-OSHA Date 9 Action Init. ~ 2' II ~.~~ 'Pe\Z-A'D -(''''' 1!A V 0JJ.- (U.J. ~ ~Io....;) ("Jt-o cr,J ~ lS~....<- \O-j-Il \$oSvA-NCe\Z-iEAA>'""( v~l"1L t,.JSPrC-Tlo? )rrJT;> ll',;)- \?-( 'TO l-=? "TO \<;'SVE(~\4.352'f'fss) 1?S.~ "'lC~e? F . U$\ e>~11'{1;~ Pi) fZ:-- F-v wJ AND P~~=>I~ lO'I2-. II ~ c.l T1t-T10r0. ""'Y ?'D ('lrJ-. ~.~ - 'S"';;;'?V~ D'7r-\A- '10 brJTl:=~ (J-uo3i1i&o ~!V? ~ l~f~ hN ~ _ 0Avt,h1 /,UJtIl1J}J (J/lDk o.~o.\\. e.-~ \t..~S U L..J:~;f< IO-l~-11 \-T? 1-- '?1Z- TO ~ ~)(, 0 P t!- I rJ l- '1'1L ~ TO M A AkD 11- 5t:t27 . 'F?(L fl-" vJ "~ t.; Company Name Complaint # ~j2.A~~ ?~,\...-\.-,tJc4 Inspection Follow-Up Ext. Date LL , C. . # 3' 4:'? 52- 15 ~ Date To Review Commission Emplover's Response to Complaint Due Date Complainant Response Due Date _____ ~ U.S. DOL-OSHA Date I rJ Action Fo ON THE \ "hiF:: STl tiA-?1 ?lJ f"D/ . !~ f6~MG'? ff-ovi bE]) . T1I11-r- r? IS ArJ jt..hJfST14ArtorJ Lc::.P,-\ ?tJ? No ~ A I F~ o~ F1Z?M L. w \...HL 7 fl--fi1>~:5 l;:'7V,7 tv 62.\/~"" I ?-(r l( Y~NE At:> N I\',Z- 1'"'\<:'4 ATTY ~t-JT1\ \-~ I~ po ?L \\)l:;-?) l tJ ?-O . '"'tV' (p - ?AD FOI? IrJ Fe>' rfl.ev 5'-1 Mt> , }?l! \?;;;?..Wt.\6rJi::. WrJJaSA-'f1l?,v vJ/ ?}J?~~~ I:?fJ E1C 4 .../) l21?' '$t1\?1;-MaJTS ~ '10 e~ 1..j.r,-1I ~A () CoNF Ct.-O$I"-'4 4fl? OVfE:rL ~'-t;-rt+oNE" wrri-! 'l~ 4 'Il F 1\., ~ S lJ~M.t tTa:r? 11> ?O Mt> ro rc. Fore.. jZ..crV I FW J4.j>..JD ;C?~lep '?,~cl'? I '3~ 10 Al ~t.Fc,!?rJ I {2e\Jte;:.v0. ......A..d~ ~~...,., ~J <<~~. MADE. &--)"'11 8-\;-H B-I"ss.J1 F(L~ l~c:;$v?!;;oMIiTI::-t::> 'TO ?AD '1"'" 5") ~ .,-.... ~.l).....J A>.... ~........... e.?c,. \\ '?=\.\e ,?:Co \-r!l:::P 0 k 9'..21 .. II '1- t7.lt ~\LE t<-o~ $ $' v i3 M ?O F AAD et f'J\-?lorJ . SIP 4 Company Name Complaint # P\2.. A CG: \-..1 ?\Z-\\..., L \N~ # lLC3 Inspection # FOllow-Up Ext. Date ?~ 352- 151 Date To Review Commission Emolover's Response to Complaint Due Date Complainant Response Due Date I U.S. DOL-OSHA Date ? Action r. .? <>- -\-0.... \ " A .s s ; ......-t'c>\ ~ rs H(J oS SrI-If bE"L1v,v S <1. - J..\ A 3(.", ~f\ ^ f-? -h. PE;..? 'D . (Shf~ T? 61713'. /1J6rCC:?1P;J)IAJVES71Cf/fTlW I ( INS Pt:-c T1 ?rJ j2- ?S V M If: ?) Cd. &< u...J'Tl::1C V 1t;VV.s C ;>1\,17::> V v/l:.:-n ?(?tr ro C#t7VtHJ4o v.J SJ./-?IZ-,PFS. PS S-S'-Il Pl-k>N~ ?lSCv~:>Je:>"j t tJpO / tvtt?~ CO A"tJr:> . 4~? TO A AP t':MIt i L \El> t::; t-~ 5-5-i\ _ b?J?1l4n-?> /tfVD 1M ll:j) ~~ ~~()(~~ 'udCOfJT?\C? \I,D~?) \ L No\<. ~H-?,Jf. -To S'4~11 MA"t)l:? w) IdJfo Aba"" VIC-TlM., 5'- J'I-It eM A ?<'Cl1'lw'+~ Y:tc-o t1 ~(L 5 ~ \fJf'D" J.J'?: .1.(,- II 'Y ~ CMJ- TO ~,,( A? NoR JL?..~ S If?V?-Sr1~A I7)IL J...er- ?. Sl- 1\ ?~?t: e OrlPfi,J ~ 4-?1?N tJF ; AI,,) A-5JLli Company Name Complaint # 'ssro- b.r: (l "'5 . L LC 3 \t-{ Inspection # 352 f 51 Date To Review Commission Complainant ReSDonse4 Due Date 314352154 F.O.IA Follow-Up # U. S. Department of Labor Occupational 3300 Vickery Safety and Health Road Administration North Syracuse, NY 13212-4531 (315) 451-0808 Fax (315) 451-1351 OSHA Home Page: 10/24/11 www.osha.goY We are writing to share with you the findin investigation into the death of your s of the recent Occupational Safety Administration OSHA's investigation determined that the employer did not ensure that Operators were trained in the safe operation of powered industrial trucks. OSHA Enclosed is a copy of the citation and proposed penalty against Braden Drilling, LLC. citations state the alleged violations of safety and health standards at the worksite. The amount of the proposed penalties is related to the severity of the alleged violations. Penalties may be reduced from the maximum allowable by law if the company is small or has no history of previous In some cases, penalties may be reduced in exchange for a company's prompt violations. correction of problems in order to protect other employees at the site and avoid litigation. Enclosed is a brief fact sheet that further explains OSHA citation and penalty policy and should help in understanding the citation. If you have any questions about our investigation or any of the information enclosed, please contact me: Christopher R. Adams, Area Director USDOL-OSHA 3300 Vickery Road North Syracuse, NY 13212 Telephone: 315-451-0808 We sincerely regret the death of your son. you. We hope the enclosed information will be useful to F.O.I.A. 314352154 5 OSHA Citations and Penalties OSHA citations state the specific safety and health standards the company is alleged to have violated. They note both by number and name the individual sections of OSHA (A complete listing of OSHA standards that the employer allegedly failed to follow. standards is available for review at the OSHA area office or can be accessed on the agency's Internet site at www.osha.gov under "Standards.") Citations specify the location in the plant or on the site where the violation occurred and the circumstances surrounding the violation. The Area Director of the local OSHA office that conducted the inspection signs and issues the citations. Citations must be issued within six months following identification of the violations. Even if they disagree with the findings, employers must post a copy of each citation at or near the place alleged violations occurred for three days or until the violation is abated, whichever is longer. Citations identify required abatement dates and proposed penalties for each alleged violation. For violations that are easy to fix, immediate abatement may be appropriate. If an employer must purchase equipment or significantly modify the workplace, a longer period is permitted. Proposed penalties may range as high as $70,000 for a willful violation or $7,000.00 for serious violation. Other-than-serious violations may carry penalties or there may be Reductions in the amount of each proposed no penalty proposed for these violations. penalty can be made for small employers, good faith on the part of the employer and no previous history of violations. a Violations are classified as willful if OSHA has evidence that the employer intentionally and knowingly committed the violation. Violations are identified as serious if there is substantial probability that death or serious physical harm could result and that the A violation that has direct employer knew, or should have known, of the hazard. relationship to job safety and health, but probably would not cause death or serious Violations may also be characterized physical harm is classified as other-than-serious. as repeat if OSHA has cited the company for a substantially similar problem within the past three years. OSHA does not actually have the authority to levy fines. That authority is granted by law to the Occupational Safety and Health Review Commission (OSHRC). OSHRC is an administrative review board. It is completely separate from OSHA or the Department of Labor. Employers can contest alleged violations, proposed penalties or abatement dates before this board. If they decide to challenge any part of OSHA's findings, they must do so within 15 working days after the citations are issued. Employees may only challenge abatement dates. Employers may also request a meeting with OSHA to discuss an informal settlement of the case. This may involve reductions in penalties in exchange for promptly correcting violations. OSHA's primary concern remains prevention of injuries, illnesses and deaths (All penalty monies go directly to the rather than collection of funds. U.S. Treasury; they are not part of OSHA's budget or credited to the agency.) F.O.lA 314352154 6 If an employer acknowledges the violations and agrees to pay the proposed penalties, then the citations as issued or amended automatically become a final order of OSHRC, which has the authority to levy fines. The employer pays the penalties and the case is closed. The employer may also contest part and pay part. Or the employer may contest the entire case. Contested cases proceed through an administrative review process at OSHRC. The employer or OSHA may further appeal the case in the appropriate U.S. Court of Appeals if dissatisfied with the Review Commission's decision. When an employer is charged with willful violation of an OSHA standard and that alleged violation results in the death of an employee, OSHA may ask the Justice Department to seek criminal prosecution of the employer. This is a difficult case to prove; therefore, few cases reach court and convictions are rare. However, should an employer be convicted, he or she could face a fine of up to $250,000 individually and/or a jail term of up to six months. A corporation could receive a fine of as much as $500,000. F.O.I.A. 314352154 7 ~-"~.=--"--"""'=..,.,..:,,,,..?~<<<,,. .'-/-~ OSHA From: Sent: To: Subject: ~w:<<<<+ <~ .:Ui'Y.'"", 'M./.;aef . -,.-.,.. .::.-C-... ~~~~r <:',:;\, u. S. Department of Labor Occupational Safety and Health Administration 3300 Vickery Road North Syracuse, NY 13212-4531 (315) 451-0808 Fax (315) 451-1351 (G) May 5, 2011 Dear Please accept our sincerest sympathy in the tragic death of deeply regret the loss of your son's life. We We wanted you to know that the Occupational Safety and Health Administration (OSHA) is investigating the circumstances surrounding your son's death. We will be in touch to let you know about our findings when our investigation is complete. is some information about OSHA fatality investigations. If you believe you or family member or friend may have information concerning your son's death, another please contact us so that we can discuss this with you. Enclosed If you have any questions about our investigation or any of the information enclosed, please contact me: Christopher R. Adams, Area Director USDOL OSHA 3300 Vickery Road North Syracuse, NY 13212 - Telephone - 315-451-0808 and please let us know if we can be of Again, please accept our heartfelt condolences, any assistance to you, your family or friends. Christopher Area Director . Adams, CIH, CSP Enclosure F.O.IA 314352154 10 OSHA y . Occupational Safety and Healtb Admin?stration www.osha,gov OSHA Fatality Investigations (OSHA) investigates The Occupational Safety and Health Administration fatalities and catastrophes resulting in the hospitalization of three or workplace more workers. Employers must report these incidents to OSHA within eight hours. OSHA inspects the worksites where these tragedies have occurred to determine whether a violation of OSHA safety and health standards related to the accident occurred and what effect the alleged viol?tion had on the accident. If OSHA finds that the employer violated safety and health standards, the agency may issue citations and seek civil or criminal penalties against the employer. OSHA is unable to release full details on its inspection findings until the investigation is over, any resulting litigation completed, and the case is closed, which may take years. In an effort to keep the family of deceased workers apprised of developments during an investigation, OSHA sends them copies of citations, appeal letters, and the results of any informal settlements as soon as the document is issued. Once an investigation is completed, one copy of the portions of the file that can be released under the Freedom of Information Act (FOIA) will be made available to a family member or the attorney at no charge, upon request. OSHA will notify family members when citations are issued or when the case file is closed if no citations are issued. F.O.I.A. 314352154 11 ,,;% Date Citation Sent \0. \'-\' \ \ SENDER: COMPLETE THIS SECTION . . . Complete Items 1, 2, and 3. Also complete item 4 If Restricted Delivery Is desired. Print your name and address on the reverse so that we can return the card to you. Attach this card to the back of the mailpiece. or on the front if space permits. Date Employer Rec'd Citation JOd8.\\ Date Green Receipt Received 1. Article Addressed to: \O.d-lJ.\\ Braden Drilling, LLC Attn: Bradley Liggert. President PO Box 547 Buckhannon, ast Date to Contest bate Date \\-\0-\\ Abate Complete WY 26201 \\- \\J> -\\ odified Abatement Date riginal Penalty Amount # $ Y<100'00 of Citations Final Notice of Contest Date Judge'sjRC's Decision Date Adjusted Penalty Amount ISA Final Order Date ISA Signed Date Order Date $ Ie Total # Held Date Payment Schedule Pmt # of Payments p/ Due AmtDue p/ Pmt # Due Date AmtDue Pmt # Due Date AmtDue Date 1 2 3 4 5 $ 9 $ 17 18 19 $ $ 10 11 $ $ $ $ $ $ $ $ $ $ 12 13 14 15 20 21 $ $ $ 6 7 8 $ $ $ $ $ $ 22 23 16 24 $ ~Ai:t14f5a~412 U.S. Department of Labor Occupational Safety and Health Administrat?on Syracuse Area Office 3300 Vickery Road North Syracuse, NY 13212 Phone: (315)451-0808 FAX: (315)451-1351 http://W\'lw.osha.gov OSHA Website Address: . ..... C ?tation.....al1cl.......Not?f?g.(itioIl.....()f.....I>enfllty......... " . . ........._....- -C._',-, ,-,-,.'- -.-.._,' _, ......:.. c. ..... .... -,,',,',,--,", ',_.. .:---, ...0'-.,-:- _, ,_ ,.. ._,_' :.._..-_:_:.......-......_. ._....,. ....' -._"..,......-,-...,'_-. __", ,',-.,;. :,.','_ _-',.. _,",' ',-..','-,.,,'_" ...-.,--........-... "-" ,'__ ,.'_' _.: ',',","" -, .-.... -.. --:','.,"-.. -....- ................................................................. .'.........-- -. '... "'... .'- -,-............ -..'....'..................................,",'.-- -,. .. '. .. ... ,-_. ,...... -,-'........... .. ..... .-.... -.. ..................... .............................. - . -. . '. - . __ . . -... . - - - . . .'... -... - . '. _ _ . - . - . - - . . -. . To: BRADEN DRILLING, LLC and its successors Bradley Liggett, President Inspection Number: Inspection Date(s): Issuance Date: 314352154 05/02/2011- 07/2612011 10/14/2011 P.O. Box 547 Buckhannon, WV 26201 ....-.._-.-,....... . ....-.-..-..-..,........-.... . -",' ......-. ...-,-'. ........... "". ...... '. ... .. ',.--' ,-'... ,,', :::",': ,'-,' -,.-'.. -' ',,':.- :: .,' i'l...tHiSCit(ltion -.' ......-'-"--,-...:', .Tfi~vi()lat.i6h(s)\cl~scr(?ed.. ...... ,'....-:..:'_'-...- -.,-:,..... .. . . . - Inspection Site: NYS Route 80, Chiulli #160 Smyrna, NY 13464 pndNotification...ofPel1alt)i?(are)qlleged ....tohavepcc~rred o~or~boutWeday(s)the ... ..',1acl({....... ..infpecffpn.....w4S....... .unless.......othe']vise. irtcli?(lfell withinthe 4escrip.t?qllgiy~nbe19w. . . .... . -. d_'_ . . - '.,','_---,.. . " ... - -"'-,' .-_ -. .. - .. '. -::-. -.... ,', :-,..,:-" - -. - . .,.-._...._. - .... . -' ',''':'".' -....._'.. : '.' - ......'.;.,.' . ,', -," This Citation and Notification of Penalty (this Citation) describes violations of the Occupational Safety and Health Act of 1970. The penalty(ies) listed herein is (are) based on these violations. You must abate the violations referred to in this Citation by the dates listed and pay the penalties proposed, unless within 15 working days (excluding weekends and Federal holidays) from your receipt of this Citation and Notification of Penalty you mail Please refer to the a notice of contest to the U.S. Department of Labor Area Office at the address shown above. enclosed booklet (OSHA 3000) which outlines your rights and responsibilities and which should be read in conjunction with this form. Issuance of this Citation does not constitute a finding that a violation of the Act has occurred unless there is a failure to contest as provided for in the Act or, if contested, unless this Citation is affirmed by the Review Commission or a court. Posting The law requires that a copy of this Citation and Notification of Penalty be posted immediately in a prominent place at or near the location of the violation(s) cited herein, or if it is not practicable because of the nature of the employer's operations, where it will be readily observable by all affected employees. This Citation must remain posted until the violation(s) cited herein has (have) been abated, or for 3 working days (excluding - , weekends and Federal holidays), be marked out or covered whichever is longer. up prior to posting. The penalty dollar amounts need not be posted and may Citation and Notitlcation of Penalty Page 1 of 5 OSHA-2(Rev. 6/99) F.O.lA 314352154 13 An informal conference is not required. However, if you wish to have such a conference you may request one with the Area Director during the 15 working day contest period. During such an informal conference you may present any evidence or views which you believe would support an adjustment to the citation(s) and/or penalty(ies). Informal Conference - you are considering a request for an informal conference to discuss any issues related to this Citation and Notification of Penalty, you must take care to schedule it early enough to allow time to contest after the informal conference, should you decide to do so. Please keep in mind that a written letter of intent to contest must be submitted to the Area Director within 15 working days of your receipt bf this Citation. The running of this contest If period is not interrupted by an informal conference. decide to request an informal conference, please complete, remove and post the page 4 Notice to Employees next to this Citation and Notification of Penalty as soon as the time, date, and place of the informal conference have Be sure to bring to the conference any and all supporting documentation of existing conditions been determined. as well as any abatement steps taken thus far. If conditions warrant, we can enter into an informal settlement agreement which amicably resolves this matter without litigation or contest. If you Right to Contest - You have the right to contest this Citation and Notification of Penalty. You may contest all citation items or only individual items. You may also contest proposed penalties and/or abatement dates without contesting the underlying violations. Unless you inform the Area Director in writine that you intend to contest the citation(s) and/or proposed penalty(ies) within 15 workine days after receipt, the citation(s) and the proposed penalty(ies) will become a final order of the Occupational Safety and Health Review Commission and may not be reviewed by any court or ag:ency. Penalties are due within 15 working days of receipt of this notification unless contested. (See the enclosed booklet and the additional information provided related to the Debt Collection Act of 1982.) Make your check or money order payable to "US DOL-OSHA". Please indicate the Inspection Number on the Penalty Payment - remittance. OSHA does not agree to any restrictions or conditions or endorsements put on any check or money order for less than the full amount due, and will cash the check or money order as if these restrictions, conditions, or endorsements do not exist. Notification of Corrective Action For each violation which you do not contest, you are required by 29 CFR 1903.19 to submit an Abatement Certification to the Area Director of the OSHA office issuing the citation and identified above. The certification must be sent by you within 10 calendar davs of the abatement date indicated For Willful and Repeat violations, documents (examples: photos, copies of receipts, training on the citation. records, etc.) demonstrating that abatement is complete must accompany the certification. Where the citation is classified as Serious and the citations states that abatement documentation is required, documents such as those - described above are required to be submitted along with the abatement certificate. If the citation indicates that the violation was corrected during the inspection, no abatement certification is required for that item. All abatement verification documents must contain the following information: 1) Your name and address; 2) the inspection number (found on the front page); 3) the citation and citation item number(s) to which the submission relates; 4) a statement that the information is accurate; 5) the signature of the employer or employer's 7) a brief statement of how the hazard was authorized representative; 6) the date the hazard was corrected; corrected; and 8) a statement that affected employees and their representatives have been informed of the abatement. Citation and Notification of Penalty Page 2 of 5 OSHA-2(Rev. 6/99) F.O.lA 314352154 14 a copy of all abatement verification documents, required by 29 CFR 1903.19 to be sent to be posted at the location where the violation appeared and the corrective action took place. OSHA, also The law also requires against an employee complaint or for exercising any rights under this Act. An employee who believes that he/she has been discriminated against may file a complaint no later than 30 days after the discrimination occurred with the U.S. Department of Labor Area Office at the address shown above. - Employer Discrimination Unlawful The law prohibits discr?mination by an employer for filing a Employer Rights and Responsibilities The enclosed booklet (OSHA 3000) outlines additional employer rights and responsibilities and should be read in conjunction with this notification. - Notice to Employees - The law gives an employee or his/her representative the opportunity to object to any The contest must be mailed to abatement date set for a violation if he/she believes the date to be unreasonable. the U.S. Department of Labor Area Office at the address shown above and postmarked within 15 working days (excluding weekends and Federal holidays) of the receipt by the employer of this Citation and Notification of Penalty. Internet Posting Notice: You should be aware that OSHA publishes information on its inspection and citation activity on the Internet under provisions of the Electronic Freedom of Information Act. The information related to your inspection will be available 30 calendar days after the Citation Issuance Date. You are encouraged to If you have any dispute with the review the information concerning your establishment at ''http://www.osha.gov''. accuracy of the information displayed, please contact this office. Citation and Notification of Penalty Page 3 of 5 OSHA-2(Rev. 6/99) F.O.lA 314352154 15 U.S. Department of Labor Occupational Safety and Health Administration ir:~{':(~~\ Ie 1.<1 \%,~;Mfjj~J NOTICE TO EMPLOYEES OF INFORMAL CONFERENCE An informal conference has been scheduled with OSHA to discuss the citation(s) issued on 10/14/2011. The conference will be held at the OSHA office located at Syracuse Area Office, 3300 Vickery Road, North Syracuse, NY, 13212 on at Employees and/or representatives of employees have a right to attend an informal conference. Citation and Notification of Penalty Page 4 of 5 OSHA-2(Rev. 6/99) F.O.l.A. 314352154 16 U.8. Department of Labor Occupational Safety and Health Administration Inspection Number: 314352154 Inspection Dates: 05/02/2011- 07/26/20 11 10/14/20 I 1 Issuance Date: Q Citation and Notification of Penalty Company Name: Inspection Site: BRADEN DRILLING, LLC NYS Route 80, Chiulli #160, Smyrna, NY 13464 Citation 1 Item 1 Type of Violation: 29 CFR 1910.178(1): Serious Operators were not trained in the safe operation of powered industrial trucks: a) Center of worksite, South side the immediate vicinity of a of "doghouse" on or about 5-1-11: Two employees were working in rough-terrain forklift, being driven by an operator without safety/operational training. Abatement certification is required for this item. See pages 1 through 4 of this Citation and Notification of Penalty for information on employer and employee rights and responsibilities. of Penalty Page 5 of 5 Citation and Notification OSHA-2 (Rev. 9/93) F.O.lA 31435215417 Occupational Safety and Health Administration Syracuse Area Office 3300 Vickery Road North Syracuse, NY 13212 Phone: (315)451-0808 FAX: (315)451-1351 U.S. Department of Labor OSHA Website Address: http://www.osha.gov INVOICE/ DEBT COLLECTION NOTICE Company Name: Inspection Site: Issuance Date: BRADEN DRILLING, LLC NYS Route 80, Chiulli #160, Smyrna, NY 13464 . 10/14/2011 Summary of Penalties for Inspection Number 314352154 Citation 1, Serious = $ mIa;i~II~1!..~)t'11";~~f1fl.;'r~i~fi;~!i;i~i~I.~gg 4900.00 To avoid additional charges, please remit payment promptly to this Area Office for the total amount uncontested penalties summarized above. Make your check or money order payable to: "DOL-OSHA". Please indicate OSHA's Inspection Number (indicated above) on the remittance. of the OSHA does not agree to any restrictions or conditions put on any check or money order for less than the full amount due and wiII cash the check or money order as if these restrictions or conditions do not exist. personal check is issued, it will be converted into an electronic fund transfer (EFT). This means that our bank wiII copy your check and use the account information on it to electronically debit your account for the amount of the check. The debit from your account wiII then usually occur within 24 hours and wiII be shown on your regular account statement. You will not receive your original check back. the bank will destroy your original check, but If a will keep a copy of it. If the EFT cannot be completed because of insufficient wiII attempt to make the transfer up to 2 times. funds or closed account, the bank Pursuant to the Debt Collection Act of 1982 (Public Law 97-365) and regulations ofthe U.S. Department of Labor (29 CFR Part 20), the Occupational Safety and Health Administration is required to assess interest, delinquent charges, and administrative costs for the collection of delinquent penalty debts for violations of the. Occupational Safety and Health Act. Interest. Interest charges will be assessed at an annual rate determined by the Secretary of the Treasury on all penalty debt amounts not paid within one month (30 calendar days) of the date on which the debt amount becomes due and payable (penalty due date). The current interest rate is 5 %. Interest will accrue from the date on which the penalty amounts (as proposed or adjusted) become a final order of the Occupational Safety and Health Review Commission (that is, 15 working days from your receipt of the Citation and Notification of Penalty), unless you file a notice of contest Interest charges will be waived if the full amount owed is paid within 30 calendar days of the final order. Page 1 of 2 F.O.lA 314352154 18 Delinquent Charges. A debt is considered delinquent if it has not been paid within one month (30 calendar days) of the penalty due date or if a satisfactory payment arrangement has not been made. If the debt remains delinquent for more than 90 calendar days, a delinquent charge of six percent (6 %) per annum will be assessed accruing from the date that the debt became delinquent. Administrative Costs. Agencies of the Department of Labor are required to assess additional charges for the recovery of delinquent debts. These additional charges are administrative costs incurred by the Agency in its attempt to collect an unpaid debt. Administrative costs will be assessed for demand letters sent in an attempt to collect the unpaid debt. ~ Christopher R. Adams/! I /J ~ / oj/if~?ll ate Area Director , /, ,CSP Page 2 of2 F.O.I.A. 314352154 19 U.S. DEPARTMENT OF LABOR Occupational Safety and Health Administration 3300 Vickery Road North Syracuse, New York 13212-4531 Telephone 315-451-0808 FAX (315) 451-1351 (I) OSHA Website Address: http://www.osha.gov 10-14-11 BRADEN DRILLING, LLC Bradley Liggett, President P.O. Box 547 Buckhannon, WV 26201 Reference: Inspection # 314352154 Dear Mr. Liggett: In an effort to reduce the paperwork burden on employers, OSHA instituted the Abatement Verification Standard, 29 CFR 1903.19, in May of 1997. This standard allows the employer to provide a letter certifying, where indicated, that an item was corrected in lieu of providing copies of documents that verify abatement. The requirement for certification is indicated in the citation by the following language: "Abatement certification must be submitted for this item." In some circumstances, documentation is required in addition to the certification letter. This documentation may include, for example, photographs, air sampling results, purchase orders, copies of cited programs. The requirement for documentation is indicated in the citation by the following language: "Abatement documentation must be submitted for this item." These abatement responses must be prepared and received in this office by the date(s) indicated on the Where the citation item reads, "Corrected During InSPection," no further response is necessary. citation. Copies of any abatement certification and documentation submitted to OSHA must be posted for those employees who were exposed to the hazard. This posting must remain posted for three working days after submitting the letter to OSHA. F.O.l.A. 314352154 20 An optional abatement certification letter has been enclosed for your convenience. response to us at the above address or fax number for the following items: Please return the Citation 01 Item 001 If you have any questions, please contact the Assistant Area Director, Sincerely, at extension . encl. F.O.I.A. 314352154 21 ABATEMENT CERTIFICATION BRADEN DRILLING, LLC P.O. Box 547 Buckhannon, WV 26201 Reference: Inspection #: 314352154 In accordance with 29 CFR 1903.19, Abatement Verification, this document is being offered to certify that abatement has been accomplished for the citations noted below. I certify that all employees and their representatives have been informed of the abatement action taken on these violations. Additionally, I attest that the information contained in this document is accurate. Signature Typed or Printed Name Date Citation action): #: 01 , Item # 001 was corrected on (date) by (describe corrective F.O.fA 314352154 22 U.S. Department of Labor Occupational Safety and Health Ailhtinistration 4> ?jsp~ti??i~~l 314352154 BRADEN DRILLING, LLC ...... .Qp~JXOOP..t\l?}..'.......),. Inspection Report i'\Wigtilli?pt:t.t*'" o Thu Oct 13. 201l1l:07am 725 NYS Route 80, Chiulli #160 Smyrna, NY 13464 ..$~W./;$i~?/ .I'~?ij~ M~1mg !\:d.?f.~s'~i( Buckhannon, >. P.O. Box 547 PP?P?F!A$:) M~iJ/L (304) 473-1800M?j!} FAX (304) 473-1782 < G9P(f?lJjilg ?:pmy< ?Wiiersmp} Private A. i#gM~?#H?X<" .......... WV 26201 Sector 100882406 J:!:WPl?Y?d~p.p:s~??sl#n?rtt..... ??ye~q~?lij$p~H6?t......... . S. Safety ...... Yes ?()ijtt911~J3Yf1~pl?y?r).. . IR?Mq#:t.t9I#~p~~9*LI 1#SP~~@~1yP~(.'....{Fatality/Catastrophe A. $?9~9fIlij$PAAgpij A. Comprehensive Inspection ?f?Sssi?9~~i(.hit....> Safety Planning Guide/Construction '$tt~t~gi?Jpitia~iY~S ~~tiw~l,pmp?~is} t.q?%1I?#tpll~sis(<...'..". , ,_ d. _ _', _ _ _ _ ,_. . tWti?jp~t9f:YWilt?"~t$?rv@.? ......... J)?l??l J)~i~ '.. '. .'. Date ReEntered. .. DateRepen?@ReEnteied . . .' . ??ticip?t9r?$~QPp~?#rs~~~! i. 05/01/11 05/02/11 05/01/11 4 07/26/11 07/26/11 N N 01 10 314352154 IMl\rfLANG-N l? -I:!r II F.O.I.A. 314352154 23 OSHA-l(Rev. 7/02) U.S. Department of Labor Occupational Safety and Health ACk...ill?Stration ~ 1!Iti~~9ijQ#'t'l#Y.... Inspection Narrative Thu Oct 13, 201111 :08am Ul314352154 1()?~,C?S?19'timI)~i >1725 p~qtpl~?m~1'ltt{?#te> .<1 ~g~lR#fity>......... .. \ IBRADEN DRILLING, LLC It?P?9fpq~i1?~$~).'. }/}IGas Well Drillers ? ..... I. . . .... ...?i14iij()1??t<:;J~tiq?1M~I.il1g?d4f~$~s.. .. .. ... ... ...../..............1 . . // . . .... .?rg?i?i~~E?1J.P1?.Ye?y#:ltitl$) ....... .... . .-;:-:-:-:-;:::, ... '-:::.;-<-' I I.. -;-"" :":<.-:;<:>.:.:.:. '. ;-..-..-...'.......-..,...- .... . ... ... .. ..Auth?riZ?dEmplQy~,Repres?Jifatives .......... .......... . I M 10C 10C 10C 10C 10 C 10C 10C Y N Y Y Y Y Y Y 05/01111 ( first ?l6s??g. C?rjf~reIlge .. .. 05/02/11 05/01111 Se?bridCl?sirigCorif?ienc~ . < . .. o Ilff?ll?\\71?PI~?t~Qti?#?/ ...r-t...... ..........1 L--'-R~as()l1 . .. F.O.l.A. 31435215424 OSHA-IA(Rev.6/93) Page 2 Thu Oct 13, 2011 11:08am Inspection Nr. 314352154 BRADEN DRILLING, LLC SAFETY NARRATIVE F/ .~psp~?t~9#1'1m#?~t')}1314352154 COVERAGE INFORMATION: Employer is engaged in and/or use of supplies, equipment, goods, and services. NATURE AND SCOPE: This was an insl'ection received via an Afte~ ~ours. Tr~nscript from a business that affects Interstate Commerce through the purchase requested and granted. 2, Route 80, Smyrna NY. An email referral was f?r Braden D~illing, LLCinf?~~ of a.fat~i~ that occurred at a dnllmg ng stte on 5-1-11. A smlllar After Hours Transcnpt was received from [~{lJ~~{~.lm)..I Office of Onondaga County Medical Examiner informing that the accide ed at 9: 19am and thatw.!!J.~victim was as contacted by AAD ssllG~ and was pronounced dead at University Hospital in Syracuse at 12:40pm. CSHO dispatched to the site to begin the investigation. The CSHO contacted y cell phone and was informed that he site until after 9:30pm. Upon arrival. ~t the work site..the was en route from West Vir inia and would not arrive at CSHO ma~econta~t with. ~d and Drilling Director (Norse Energy). were on slte meetmg WI other officers from the Chenango County Shenff's Otflce. ite on 5-2-11. Upon arrival at the Information was gathered invo vmg e mct eut, ~U?..glansmade along with several representatives worksite on 5-2-11, the CSHO made contact with .il,~&!Zl~and from Norse Energy Corp, where credentials were presented, reason for inspection was stated, and permission to inspect was located at Braden Ri ... ..~. -rEI contact the main office to notify the highest-ranking management official of the informed the CSHO that the company is aware that he is on site to meet with the CSHO and would represent the company uring the inspection. During the opening conference, all applicable opening conference topics were discussed. All inspection procedures were discussed, including employer representatives, photo&raphs, PPE, employee interyi~ws, 11 (c) l'r()&r,am ~an~coml'~Il~safety l'r()~aIl1s :A:lso ~llrill~ !heol'~l1iI1~~()IlfereIlc~! ~rii~~ta; y.:as in!()~e~that a comprehensiv? inspection would be performed on this particular" proj?ct... Itwas?et?ri??hied by the CSHO duringthe opening conference that criteria had not been met for a "Focused Inspection". ~~~I~"JiI was also informed by the CSHO that any other issues observed during the investigation would be addressed underihis inspection. The CSHO inspection. ~Blltfil to The project entails the drilling of 2 natural gas wells on private property (Site Chiulli #161) leased by Norse Energy Corp. A separate contract had previously been accomplished for drilling 498 feet of 9-5/8" casing, capping and cementing the well. Braden Drilling was subsequently subcontracted to drill two separate 3-1/2" diameter bores to a depth ranging from 4,800 to 5,500 feet. The start date for this second portion of the project was March 11,2011 with an estimated completion date of June 1, 2011. During the inspection, all categories of a comprehensive inspection were addressed. A closing conference was held by telephone on 5-26-11 (see Memo for Record dated 7-26211). During the closing conference, all applicable closing conference topics were discussed, questions were answered, abatement assistance was provided, and all pertinent OSHA information was given. After investigation, interviews, and fact-finding, the CSHO has made the following determinations: The victim was standing between the load and the steel structure (doghouse), guiding the load towards him. The steel stair assembly being transported was 30 inches wide and the steel grate stair landing that it was going to be attached to was 42 inches wide, leaving a 12 inch space for the victim to stand between the stairs and the doghouse. While booming the load forward, the lift operator turned the steering wheel, which shifted both the front and rear axles, causing the load to strike the victim and pinning him against the doghouse structure. There was evidence that the rough terrain lift had sunk in the mud upon approaching the doghouse. Photographs depict a flat spot in the mud approximately 24 inches long, to a point where the lift stopped, due to the front wheels contacting the timber matting. The lift operator stated that he had backed the lift away from the doghouse after striking the victim. The left rear wheel had sunken into the mud approximately 28 inches,the right rear wheel approximately 12 inches, and the front left stabilizer assembly had been resting upon the timber mat. The operator of the rough-terrain lift was not trained in the safe operation of the rough terrain fork lift and did not have any certification or documentation of proficiency. F.O.l.A. 31435215425 OSHA-IA(Rev.6/93) Page 3 BRADEN DRll..,LING, LLC The operator of the lift did not have safety training, only "on "APPROPRIATE PPE WAS WORN BY the job" experience. Thu Oct 13, 2011 1l:08am Inspection Nr. 314352154 mE CSHO DURING THE INSPECTION" Check Applicable Boxes and Explain Findings: o o *** Under Fat/Cat Complaint Items Referral Items ?l Accident DLEP Investigation Summary & Findings Ev~100882406 o Planned Inspection UNUSUAL CIRCUMSTANCES (Mark X and explain all that apply:) nNone... l!J. ......... o Denial of entry (see denial memo) Delays in conducting the inspection Strikes o o D o o Jurisdictional Issues Trade Secrets Other OPENING CONFERENCE NOTES: *** See Nature and scope above RECORDKEEPING PROGRAMS 300 Log (Other than 29 CFR 1904 requirements) OSHA-IA(Rev.6/93) F.O.I.A. 31435215426 Page 4 Thu Oct 13,2011 11:08am Inspection Nr. 314352154 BRADEN DRILLING, LLC [JYes DNO HAZARD COMMUNICATION PROGRAM Written Program (complete) [JYes DNO MSDS's (all) [JYes DNO Labeling (adequate) [JYes DNO Training ( complete) [JYes DNO Copy MSDS's/Program attached [JX?~GJNO ACCESS TO EXPOSURE & MEDICAL RECORDS FIRE PROTECTION AND EVACUATION PROCEDURES: SYSTEMS SAFETY AND EJ\.fERGENCY RESPONSE Fire extinguishers on site, Local 911. RESPIRATOR PROGRAM LOCKOUT TAGOUT/ \ELECTRICAL SAFE WORKPRACTICES FIRST AID: First Aid kits on site, Local 911. ELECTRICAL SAFE WORKPRACTICES: EXPOSURE CONTROL PLAN LABORATORY STANDARD ERGONOMIC PROBLEMS DYes [JNO OSHA-IA(Rev.6/93) F.O.I.A. 31435215427 Page 5 BRADEN DRILLING, LLC Thu Oct 13. 2011 11:08am Inspection Nr. 314352154 EVALUATION OF EMPLOYER'S OVERALL SAFETY AND HEALTH PROGRAM Construction Industry: GJYes DNOAccident Prevention Program GJYes DNOWritten DYes nNo l!J Evaluation of Safety and Health Program (O=Nonexistent 1 = Inadequate Copy Attached 2=Average 3 = Above average) Written S&H Program Communication to Employees Enforcement Safety Training Program Health Training Program D D Accident.Investigation Performed Preventive Action Taken CLOSING CONFERENCE NOTES: *** See Nature and Scope above Were any unusual circumstances encountered such as, but not limited to, abatement problems. expected contest and/or negative emplnyer attitude[jv.:' ~~obelOW' D D 19.Closing Conference Checklist ("x" as appropriate) No Violations Observed Gave Copy Employer Rights Hazards & Standards Reviewed GJ GJ Discuss Employer Rights/Obligations OSHA-IA(Rev.6/93) F.O.I.A. 31435215428 Page 6 BRADEN DRILLING, LLC Thu Oct 13, 2011 1l:08am Inspection Nr. 314352154 \J Encouraged Informal Conference \J \J o Offered Abatement Assistance Discussed Consultation Programs Employer/Employee Questionnaires Closing Conference Held with Employee Representative o Jointly o Separately l? - J? - II OSHA-IA(Rev.6?93) F.O.I.A. 31435215429 u. S. Department of Lalt/' Occupational Safety and Health>>dministration Worksheet Wed Oct 12, 2011 1:00pm ~ ....l~p~?t~9tt~l)??~t 314352154 725 ...............,....qp~{..~~p!.....m4p;il??f .13s~Qss$1i?i1~pt.l'l~~.. BRADEN DRILLING, LLC . - 'typ?grYigl~ti9#ti. N1J.f?b~f:~*p?~@/... . S Serious 3 C?t?ti9.?1NJi?il?~'r< 001 N?>hist?ri??s< '.'-.-." $t4h!Nltege4~??,........i. 1910.0178( I) ,'.-" ?P~t~?1ent . >l?~rJp4 30 .f\b?t?rri~#t.])99?h1e#~@??#~?qJlir~4.;..........<.. ..........t t$\i?:i~~ij?e~()q~s".' I .......1 .., ..... . [AYI?lY~?~?l?JIif()ft??tiM;(.i .. '. ,",',." 29 CPR 1910.178(1): Operators were not trained in the safe operation of powered industrial trUcks: a) "doghouse" on or about 5-1-11: Two employees were working in the immediate Center ofworksite, South side of by an operator without safety/operational training. vicinity of a rough-terrain forklift, being driven Abatement certification is required for tl?s item. G9?qF . . u . ...... .... .., u . .A;H?Zatd. .. B,Eqtiipment. .. C~ Location ....... D. Injury !Illness .' K Measurements ... . ............/ ....1 1.~X??t~AEI'~~'}'. . 30 F.O.I.A 314352154 OSHA-lBflBIHprint(Rev.9/93) Page 2 BRADEN DRILLING, LLC Wed Oct 12, 2011 1:00pm Inspection Nr. 314........2154 Citation Nr. 01 Item/Group 001 15-1-11, 9:30a Describe the following: 20. Instance Description a) Hazards-Operation/Condition-Accident: A struck by hazard existed when employees were working in the immediate vicinity of a rough-terrain fork lift, one of the individuals located in front of the vehicle/load. The lift was being operated/driven by a person that did not have fork lift training. Unit #58290, rented by Norse Energy from Admar Rental. b) Equipment: 2007 "JLG" Skytrak, Model #10054, Serial #0160027022, Unit #58290, rented by Norse Energy from Admar Rental. c) Location: Center of work site, south of "doghouse". d) Injury/Illness: Death. - e) Measurements: N/A 192,194,203,206,216,218 ked the em 10 er was aware of OSHA and their enforcement of workplace standards. stated that he directs the work of his employees, as well as assists them with wor tas at IS emp oyees were inth~~ps,~~~. setting steel of ,an stairs onto the dog house landing platform, indicating knowledge of the condition. .illjlm:~acknowledged the condition and stated that he had ~irect~dthe crew to install the stairs and had gone into a trailer near the doghouse just prior to the incident.I:~~~f~4i~stated that it was common to let his crew work on their own to perform typical/repetitive set-up tasks that occur on each and every drilling site. stated that he had not 24. Comments (Employer, Employee, Closing Conference): Employee had any formal training, nor any training in the safe operatio stated that he only had "on the job" experience only. (iJ}~r~@?RQl stated that it company policy that all employees operating the fork lift have operational trainmg, including a proficiency exam. hazard. 25. Other Employer Information: The CSHO observed aU work on the project cease, thereby eliminating the The lift was later removed from the site by the Admar Rental. Serious No No ...... ....~... ..; : I 10/14/11 Z Add transaction A Add S Serions F.O.LA. 314352154 31 OSHA-lBflBIHprint(Rev.9/93) Photo Mounting Worksheet (Digital Pictures) U.S. Department of Labor Occupational Safety and Health Administration Ins ect?on Number: 314352154 I I. Photo In 0 I 3. Citation Number: ow ID Number: OJ ?te. South of doghouse. Lookin.g northwesterly. 7. Description: Area of stair irIstallation 8. 1. 0 Confidential Materials Photo ID Number: Cont. f 194 I 01 3. Citation Number: Evidence ofl?mited travel due to timber mattirrg. 8. 0 Confidential Materials Cont. Designed f?r Digital pictures OSHA 89 Revised 4/84 F.O.l.A. 31435215432 Photo Mounting Worksheet (Digital Pictures) . Center of work site, South of doghouse, Looking westerly. 7. Description: Approx 12 inch gap between load and doghouse, Victim location 8. 0 Confidential Materials .. Cont. I 206 I 3. Photo ID Number: 3. Citation Number: 01 7. Description: Area between load and doghouse (approx 12 "). 8. Confidential Materials Cont. Designcd for Digital pictures DSHA89 Revised 4/84 F.O.lA 314352154 33 Photo Mounting Worksheet (Digital Pictures) . Ins ection Number: I 216 5. Photo lD Number: I 3. Citation Number: 01 F 5.lnstance Number: Center South of work site, of doghouse, Looking westerly. 7. Description: Evidence oflift sinking while approaching doghouse, 8. 0 Confidential Materials . Cont. I 218 ,. 5. Photo ID Number: .... I 3: Citation Number: 01 6. Location (photo and Photo a Center ofworksite. South of doghouse, Looking easterly. 8. 0 Confidential Materials Cont. Designed for Digital pictures OSHA 89 Revised 4/84 F.e.l.A. 314352154 34 1 1 11I1'-'1111-1-11,111 -1-11111111 111, 11 - . 1 1111 111- .1 11;,11 5, - 1 11'111 1-111-. 11 1 1--111; --.. -1-1 gi gi . 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VVVV.V. . . V..VV.. Va .V..V..V i VV.VV.V.. VV .V - -V-V g; VVV..V.V.V. .V.V .V V-VV-V - "F'-iam.V.. 5 -. -, VV .- ..VV--V-.V..V.....--. V. V.32%/ z-V V.V.V. . -V VV.. .V..V--:47*7} ii" - -- ..-V.VV .V V. .. V-VV VV- .V.. .V 22: V- . .V.. 1';3 .V VV .. I V.-VVspiVV. -..-. rr?V;rr; r?~-V--. - . VV VZ VV . '`Vr - I V--V.;rr -V-V . - - VV .V.. -..- .V.--V-- V. V.V.V - . .-.-. .-.V .V.V. .V.VV 4 . . . gi.; ..V. ..V. V. .V..V. .. .. VV . VV -V.-.., ?.Vv - - -VV- V: -V-V-- V-V..V . . V..V EV .VV..VV. V-VV V.V. V.V-.V.. VV.V.V. . 4 .V.. Tr .V - gr cig..V.VV VV . . V--VV -VV-V - ffrE.; . -Viri-1 -- -51; - . 1 f~'w~. . Hi-!ff?ltj': y tJ Date 1. Reporting 10 3. Optional Report Number 4. Inspection 5.1 7dr: Number Satisfied (Identifies Ihis Inspection) Number ~ ,. 31y ~5J.l ::>~ y rA e. Total Entries Type Number SatiSfied )JY-S Os oH DYes Os DH oNo cotl~\..T.4"?\?..l Number o 0 15. Name of Conlrolling Corporalion. Partner. or Owner 17. a, b . 0 ss S'lclor Local Governmenl c. d. 0 0 State Government Federal Agency/Code L_..i-J._.t-..?. A.. ,,~~~-bl.l~~~~~~ _ c.. ,[? ;7oLtr ?t4>? 19. Was Advance Notice Given? 20. Opening Conference Dale DYes Salety o ..!>'J-h 22. Prima~ StC I J~)( 23. Secondary SIC o Health 1> 25. Inspection Classification a. Guide (Mark all that apply) Ull~c;,rllmmed a, b, 0 0 0 ~CCjdent Complainl e, f. 0 Variance a. b Salely Planning Guide: 0 Manulacluring DConstruction o Health Planning Guide: 0 Manufacturing OConstruction o Maritime c. Referral g. 0 0 Maritime Follow.up Unprogrammed Related c. d, e, 0 0 Local Emphasis Program (specify) ^<""" " Monitoring d, Programmed . h. 0 'Planned ?. 0 Programmed~~!ated National Emphasis Program. (specify) rker Camp ~.. 2S. Number of. Employees Employed in Establ?shment 27. Number of Employees Covered by Inspection 28. Number of Employees ContrQfled by EmPloyerz'tr.: :,~n Uni?n 0 U . (2) (3) (4) (5) (6) (8) (9) (10) (11) (12) (13) I 1 I I I i i a. 35. Scope (Mark "X" in one box) 37. Anl?cipalory Warrant! Subpoena Served ....L-. I Comprehensive b. Inspection j i Inspection 4.1. 0 [J .. Partial Inspec/ion d.DNo 36. Number of Days Site Visited --,__-.--J \ -T~ [] Yes 38. Date of Denial ,- 39. Date Re.Entered pate Re;Enlp'qd 42. Optional Information l'YP8 ID <. Value .... Type 10 Value tL. I'J C?L....H.. Dip rl itf44. a. b. "-e' F'O?.U? 0 0 Close Citations "'-1 ~3. , c. ~~~~~s 45. If no inspection a, b, conducted. mark "X" .in one box [] 0 Establishment Not Found d. e, r. [] Ten 0 o or Fewer Employees g, DW9rksite Exempt Through ,. Closing L;onterence Dale (On Site) No Employer Out 01 Business Denied Entry h. L 0 0 "VOluntary Program Non.Exempt Consultatlon in Progress Issued c. 0 Process To Be Inspected Not Active SIC Not on Planning Guide .c8. Reviewer OHler Date Signature Date $--rA~ c.oi'1? \..... '0,4 If;: : l~ pf(-. pA?\?.: M~ (( I( ~ ON ~rrE , JU-N- Wi?1T?':'; HAz..AJZ..DO?-:::, 5AF."'1:'1' P\..AN? G @ C.?NNUf,.\.\cAT1D?S ?CU(;..{?..-AM VJ1-l~~ M~P-? !-Ae-~\)~ ? y~ & tJ vf/~(j "["?OI-- P ~ ~*!<< t:::>;*t'-? 3)i Po.c..\.J~. / ~ e>DK T"~"h . It1 'T'?-A- \N\f....\~ JA O'5I-~ A ;300 Po &3 N N e!b t>#q ;?cJ$tf 06HA fTr<-~ : ??EiL G VI (0 ~H& E f:.::;; ?XTIN fZ..E~'f' () N';' vi. l~? AlP C/o ~ ~IT o~ -:SITE' )tzi 6Ft.. \: f2.C?bJ~S C.OMF'\....ertO~ F.O.I.A. 31435215469 Narrative U.S. Department of labor. Occupational Safely and Health Administration . 2. Inspection ?. Establishment Name: Number ~ Type of legal Entity 4. Type of Business or Plant 5. Additional Citation Mailing Addresses (1) Name Altn: Street Addrw->5 (2) Name Attn: Street Address City State Zip City Stale Zip W?~fI.. AfL"\!"'f> 6. Names and Addresses of All Name' Organized Employee Groups: (Ul-llot-iJ Ci M;H 7, AlJthorize? FlepresentatrvG$ of Employees: $11;:;L,;.J,?j2.? ofL Vl-.HoP p-\?:r) Tele. No. o y Tele. No. Name Organization o y Local No. Title Address Home Address Zip Code Zip Code Name o y Tele. No. Name Tele. No. o y Lceat No. Organization Tille Address Home Address $. Employ?r Reprc$eot. ativEl$ COntacted: 0", Opening Cont I '" Credentials Presented "tV A [J .M y 0 y to.Coverag!;llntolTl'llilUon ~}.1?'fiiFV~frATi': Home Address Tele. No. Zip Code. openJIDL; Co?f': 11. Date {I. Time 01 Entry: 12. Dale & Time Walkaround Began: 13. Date & Time Closing Conference Began: 14. Dale & TIme of Exit: (1) H~.Follow.up Inspection Recommended: Reason: No 0 Yes 0 (2) 16.CSHO Signature & Dale: . 17.Accompanied by; F.O.I.A. 31435215470 Pr&VlOUll EdltlOll1l Ob$olat& O$HMA (1(}S4) ,20. AddltJonal l;ommems: \...... J:::o~'T{Z.ACTD(2...: ?~~ 1 ~\ME:. C Ot-.lT~Ac..T?~~: ?'~A"D~: ,?r:FIC.e: ~ E.E6 OJ.! -.:?(rE.~ j 5vE> C.?rJT?AClD.e.~: To: t~ Or'Flce: CIh7Y <# l5.E6: -AtJ F 0 I A 314352154 71 '~ Worksheet Occupational Safety and Health Administration u.s. Department of labor . 5. Instances on Page (a, b, I) 13.REC L I FI__u~Lg'i.u._________._.___~._~.. ..~.____m..u___c__~m_______u__J1.Z:(,~_.._-.k~~__("t:Luu____uu_u~uhK:[t. , f!,EF: J SJ oL..rJ._&.Llu__._~._..__m.~_u,_ /j ........u_u__m_..u__uu___.._..___u..-===:LjU-tu.u,.....JcJ.....Cb)tl) ...e .ut2Q.;??~._~___.. ...m~~~~... "m ?.?'u,_u_" -.. _~__u~__~'~__~__~.............../..,W./_.-...,.-.mmm_~_m__m__.m_~_~/____hd_/h__.~._m'm___.,____ ----~-~-~---'--~-----.,-.,->----~._~.---/_---^___<_.,_.,___m..._>".,._____~__--~____"""'.,~__________ 20. Instance Description (a. Hazards~eration/Condition-Accident; -""'~---'''-~.'--''''~''''~'___'~'__.__mV'______,__,_' b. Equipment; c. Location; d. Injury/lllness; and e. Measurements) _~_~_~._._~. _._.~.__>_~__/_.,,_._ ~ '_~b____u_.____"_,___ _m."_ .M_ __._... ~______'. .h__.V n. ~"_ _" _ ".,"., ___.,..____.~_.,.,~_ ~_ Lo?.AT~O ___~w _ ~L'UU'M'_ '~__'~___'<___r~__~. -_____'w_/_ uu .u .c..-rI!:.o.uQ.bm.w6&K,;6:lR.. . )' =s~;~;'l~ .b".~~,,~i: _--_",~___ ,_,_,_ ~'______~__' __, _~~_____ _~_~_ ~___' _/'N___/ N__ ~.~-__,~.~_._~~___ -~_/_~'N'~_____~__"_../_w/_ .......?DMIti:-..\ZaJ..JZI~_u g441?T;'..t1A"~~'.'::N' m .......te1?frr;-:t:>-.fo/.~6G... ......,JL - ~~.. '_Uu ..u.......... I c?t ......"" MeA 6\)~ E. ~'?SN1::~'~"d" y u....JAR R:Euh-...=-u "'" :\:\:: 't. ?:. !2- \ A L J?.Q~d"4.. u"w.... O;J. 7 o:J..:l.. _uu u.u.UA.).!E-!J:uS2J2.u1J~'N d. Frequency c. Total Duralion e. Exposed Employee - Name, Address & Telephone *!!! >If)~ " ?or?Pd 23. Employer Knowledge: 't 24. Comments (Employer, Employee, Closing C?nference): 26. Classif.: I a. Failure to Abate? I b. Serious H or S OJ/c. Knowl.? Id. or 01/ e. R? If W? I f 27. Probab?lily Rat?ng a. No. Employees b. Freq. of Exp. c. Prox. to Danger d. Stress Factors e. Other Subtotal Factors g. Pr?b.O h, Sever?ly 0 i. Total ?. i/2 28. Penalty Injury/Illness a. Prob. of b. Gravity-Based or No. Cal. Days Uncorr. Penalty c. Times Repealed/ Degree ot Willful d. Adjustment Factors e. Proposed Adjusted Penalty 1) Size 2) Goodfaith 3) Hislory 4) Total r .V.I.M.. _. I~ File Icase Page 10, OSHA-1 B m"v. 1/84) I TOP 9. ot~r Persons' Contacted: 9. other Persons Contacted: Occupation ~f \)~. - F(.~M41Jt:> Name! Occupation AffiIiat?oo - - Affiliation - -r;;~ 1:..,0 Tete. No. Home Address ( ) Te/e. No: Zip Code (,..\f1" f#~M'(fJte Home Address Occupation Afflliation - - Te/e. No. '( ) Zip Code. p.(Jd4 Name! Occupation Affiliation - - t? Home Address ( ) Tete. No: Zip Code F.O.IA 314352154 73 'U.S. Government Prinl?ng Office: 1991 - 282,115/44382 n "I II ,I '1 II ( ________~____,_~_,_~,_ :f?L2G~_______,_ ~ ,___6 1_=_IL_u 5-.;2-1( i 1 '---~-~-]--- -~~ ?- F.O A. 31435215474 II ?l II II Ii 'I II -----~-~-~-----~~----~I' -- ?e~6~D ___________ IIJFo .\ -" J3~?&10 ____ ~__________r:t:::~___._______.__h._~._____m_m__. 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L II -~~-~----- _um__m_m___~___W__mm___ ______ '_____m _V~_____u_--..mm----mm------~ --S?-~~~--~-~m~---m--m--u--~____~..mM_ V' v V - f 71 ~ .~ :1? ~-~---_______________~______..m_________~_____m___u_______________m___ /':--~""-.--=---. ~=-===_.- . . . _________m______ II ------m-----------tr--u---------------uu----m-----------m--u--U5----m---------m____ ___ II m_____ - u- -ll(j) 'T : mt -=~-It..-- .__. _._u__ "f.. .+----I--.t--;i~~~~UI=- p mmm -- m mm_MmmUm _ . - f, . ,"- m~ .....hA -" ; --- '-'.~~.u 4lM?E _~-l...mmmmM-U----- ----4-m------m------21& _ ===:zrm it-m..m..mm------~-mm II _mmuu___~mmH____u_ u______________mmm__..."w !1 n - __m_m_m_m_U~__m~ 'I ?~_uu_mu_uuuum_m___u_u I I-\F< 11~h-Cl?i?{:7f-m---uu - ~ _~~~m_j__~ L {.; l-tr -~-~--------'PLANT 8'-&" u 6e.. I( ('1\7 -&' _mu__m_mmm..m___ mmmmmW -mc;~-u __m_mm_mm_____~__u_ummW_____U_~______mm_________ mr m__ m m m W belt! ~ m m _ , ~__mU___ mm _ u7u- -f m AI u~m_m_ ~flt.Jr.., M _ m -- -- mG 4:?Y T ,T. . - __ , . _ __.... .. .t--.----- ---uttlJj=t-t_i-=.=J~rrlITdtB/ffD=~ ?'_ to', -.J.-. i ..-Lj-tri1T 1--rrr~=jl -_...__ L_.~_.. --u m m ____~__m_ ----um--m7(;1~~:if m~__m_mm___U -mP0J4T'~fb~4 ?/ ss-E?/Lm___w_mmmm '?( U_____mU..u Jo'41 i _~_____ u Mttf' mu-m..~---mTb~r----rl2?;;:rr~{;:Trk=.c!'cltfl?i:?-----U--u_31435215478 -e~-~ ~. ~~__.~..,_.._.~~.~_.__. ~..-.~.-------~~_.~ ~~__~"_'____'~~'_'_"'~__' -.~ f~'.~-:~~~ -~-~.~---~~-------.....-~-.~~~-~~~~--~~~~~~~~~.-~~~.-----~~-~~....~~~.~~~~~ . __'_~_'_____~_'__'_'_'_'_~_ ,t.f; Ir ~pK _.._.....______~~._~_.~~._______~.____~__...~_~.~._______.~~~__~._________. ________...._.____~____ _____ .____._~~...~______. _ __ ~_ _ _ _ ( - 12 II S u;,.Ig,.. ss.ss...) ~, ==-~=~~-~' ~~~~~~~~~~~:~~:~-'(=;~;~j-_________m_~.....___~~_ ~~---~....~--.....---.~~~~- r___~__~~tl@_Lt!:::.~__~'._l:?'!1:L__(2._~.~m_____~t?_f::..____~~~____~....._.m__________________~ __m_m__.__._____ _________~~~_______ :___PzgJ:2.~__Q_v.:c..__l?~::-~.Lom~~----.'~.s---~~I-.e~-.z.~-~-'-:-...z.~)---fCf9_~._~_:r:~~---&h 4'(' ~-~--~..---~~--.-------.~~--------.-~.-.~.--~ ~-------.-.-.......~-.3.ft:;---.-~-..-..-----~-----m.-..-.-.-.---__.__~_________.___...~_.__m__. II __.___~~~..~_~m_____~~_~______._____~_..._ _~m_~_____l_____~_________=:_~~?Z-'-~----~-12~':::?~'--.--.:pQC!?J:L.T:.'2:-__~_E:Q&__~ss:6J_h~ .... -- ( II.f~.t'?_~_'.2~-E'A~r ?b.!..D~J~_m_~._("d;~:::_r:- _______s~.________________________.._________~___~____.._._._~_____ I , , , . ... --__. .._~___ -~--.-.-t.------- ______ { __m____..__:;____---.-.___ \ ~--- lr 7f---~'-- ~ ....~--.----------~~L----C;L?A2:E~-']:L2{:::7iD-S---~(ZrEl---....-----31435215479 - . ,5 InF.0. $1435215480 I I t7\Z? v12l-? f _uuuuu_ ___ _ uuuu6-~ u~___uu__u 1 c....J.! u_u_~LS.l:r:.u~uuuuuu_~?-. ~ ~~_Qb!~J~.:::r:t::!.ru___=_ub>-O~ ~up_be>(<::~~uuu_uu_:Jour_uAE~-.e-~_uuu u_)/tf>.J_r:uuu~&NGul2___CcQu_u.6uf:{j;;~LfJS..2_uub_~.:P.::r__uuuumuu___mu_mUU _ _ 5mu~u?ukJ)2~:Ll:::._t;;:2u muuuQutJ ____~D::~:u ml?1'crt;~lliK? report was conducted by a non-partial individual, on staff at Onondaga Community College. forvvarded immediately to the Syracuse Area Office by fax, email, or US Postal Service. F.O.J.A. 314352154 82 s-- 2& w. -- 11 /:5.8, ~2H-Qu~~bdf.;"AQuwm..u. ~J??Jm. '~??m~' aD ?__"___,,~_'_d~?'_" ,., ..s= ____.w~_.____~,,___u?u //-/1 31435215483 MEMO FOR RECORD/PHONE MEMO'S 5-1-11 Investigator. equested a Onondaga County Medical phone conversation with the CSHO since Law Enforcement was not on site. 5-3-11 Phone conversation stated that the autopsy was conducted on 5-2-11. The following findings were discussed: Multiple internal abdominal injuries observed. External bruise on left shoulder below shoulder blade. Extensive sutures, staples, etc internally due to repair attempts/surgery at University Hospital. Liver and spleen intact, all injuries were abdominal, well below the diaphragm. External horizontal linear bruise across lower back. No indication of directionality of injuries, whether upward or forward moving. A copy of the Preliminary Autopsy report was requested an Onondaga County Medical Examiners Office Attn. mW?:\'~?Im.f:wrrm' . provided contact information. 100 Elizabeth Blackwell Street Syracuse; NY ..1321 (j::23 03 (315) 435-3163 phone (315) 435-3319 fax .LY~IiJ?lr~~IDl!1~ 5-5-11 Letter sent to Medical Examiner requesting Preliminary Autopsy Report Phone conversation Braden 5-5-11 Company info was gathered concerning relationship with Phoenix Drilling, number of employees, that Phoenix Drilling is a separate entity, with the same physical address, etc. address, and shares Partners. mailing (Chenango Co Sheriff). He questioned if holding the scene. that he had ~poken to OSHA was still was OSHA was still working on things and would not release the lift until completion. also informed that the lift rental company would like to take the lift off site, but was also told that OSHA is holding it. 5-6-11 1Ili_'~and F.O.I.A. 314352154 84 MEMO FOR RECORD/PHONE MEMO'S CONT'D informed that OSHA is done with the lift and has given verbal representatives on site to resume work. CSHO had s oken to and informing also rental company had concerns that the lift was rented them of such. to Norse Energy, but had been used by Braden employees. Phone call from 5-9-11 of Chubb Insurance (assumed insurance carrier for requested information pertaining to the incident. Braden Drilling). was that is an ongoing investigation and no information is releasable until the informed by CSHO also asked if it case is closed, and only under a written Freedom of Information reques was true that employees on site were not tested for druas and alcohol. was informed that OSHA has no standard for drug and alcohol testing. then stated that the testing was done one day after the incident, not immediately after the incident. The CSHO reiterated that OSHA does _I not have a standard and it could be the requirement of the employer. 5-9-11 Phone call from CSHO that he w?11 be on site until 5-11-11 ofthe phone discussions about th? lift. ~~~iI%>}~fstated that the lift had been removed from the site by the rental company. if a closing conference informed the needed to be held. "Request for OSHA Report" received from 5-9-11 (Ol1ondaga County Forensic Investigator). Phone conversation ;;~and a copy of our brief overview/narrative is sufficient to explain OSHA's findings, in lieu of a complete copy of all citations, field notes, sketches, photos, etc. was informed that the findings may not be ready a month or so. Letter for was given to support staff and filed with other FOrA requests, but will not be handled as a fonnal FOIA request. Copy of letter placed in file folder. he informed the CSHO that he would like A findings. . F.O.l.A. 314352154 85 U.S. Department INSPECTION: DATE, TIME: of Labor ?: S5A ..:31~:!JS z.. I 5~.2. ~" J SL OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION 3300 VICKERY ROAD NORTH SYRACUSE, NEW YORK 13212 Telephone (315)451-0808 Fax (315)451-1351 Page --1- of ~ Pages F.O.IA 314352154 86 1 I 1 1 . . 4552.15 5 gg;} g. 1i;i 1 .42; Ik i _r V-., lr1,,2 I. . ni ..-- - .1, .-.. nth3.-..- . .3.,.Q-1 . 7 .-Ik.1-.- - -- -- vi;-UZ: ,.114.-. . - 'ff:341 1 . 1 1 - V. ij.; - Figwi;] 1 1. Fr[ini .1TIFFa'. 2 Luz gh 'ykvNil',. 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A . .53 -f gf-Q:445-.- *4 -- -42% i4 gs.- 4 is42-F--.. -na4V4*-sa P- xx.Vag.--222-.-.. 5- - is aib- iss-.-.-4-..-, 4.-. - . .--af}. ii-- 4 m-QM--.- Q.- ..- .-., .4 2 -. .- .- 4--.- E-gg. 4..4 . -. sz- #34 .- X--4- - 5* - -. -- 3-. is-55* -. ia? ii-} we .. 5 - 4.4..-4 . -s-ig 2= .4- . . . 4-4. 4-. 4 . . 44...4--.. 4 - ..-- . .: -414.-. z- . - .. - ei aw- .-5- -if-g - 4 .4, iw rg-, -qi-gi - 4 .- 1: -wai-ci -. da-; . an 2 VV4-4-2.e44.--2-1.4- 2x 3. we-- ir--4.- -4 4- 4- . -4-4.. .. ..--: . . -4 -. 4 i4-?4' ag3.. -2.: - .--.- . . . .- . .. - - ., . -.- ki4*3; . . . .- --.. 4.-:4;-ig - Tix-2my..-.. ..4 .--. .4-an-me., .. - .32-2.4-. .. 4g;. 4.-2--.. -.--2.-.-5-.-- Kara-?. 4..- - -.sgrg?ta=f. 4. . -- .4.4. .-.---.-4 4 4. .-.-.4.- -4 -.. . -4- .--44-- EV. .. ri . .. ..-.. - -1 -.-1.4 4.-- 4-.-.4-. - 4-4.4.- - --4 - :-,-F-via .-.-.44-5..- ..--. . -- a ea --2-- wc;. -44 ..-4 Q- . 4..4 5 --..,-4ee sz. - 4?r" 4. vs- . . ig -4-.-W 4. .3.-. 4 4a;. - - .5- G--iv 1<-1 .4 .-.- - 3. . -wir-* -4 - .. - 2; -4--.- .. - -, M.- 4-gs- - - 4. . .--4sf.-2 xr44.-4.., ...-at - .. igzztiigix-- .. 1 - - -.4 --.. - 2. .- 4. 4..-. 4.44.-.- - - ..:2-ww 2 is - E- -.2-.- -. .. 4--. ii as- -.4.-, . - .- -- - . - .. . . . .4 - - -.-- . . ..44 4.. --.-- - . . - 4 CD Witness \ \ Statement Worksheet: \ Date/Time: Interview Location: ~~-,( s T:tss,-A (.,-g- Employee Name: DOB: / 2. ... f? - 7'1 Home Address: City: State/Zip: County: Home Phone: Cell Phone: Employer Name: Address: City: State/Zip: ~~,qDb-?\J "D 101 LL..O(j '7 L-- L- L ) Phone: Job Title: ~;j)art Time Length of Service with ER: TotallPrevious Experience: Time on Current Job: Begin Statement: - ?tJ . f?:oO 12- v<;. q A :5 6::-Tr/1J'7 <$ t::-- fi'!bY?(@J ti7 TrC r...r c; VP ) (IUD( Sf::::- u;> ...- v l"lo f ,..J ) '- ?...J tJ \1+1;1f 4- '*;> ??. .YfU--- J?I?5> . -?~ - ~ "'t--A-1-1?-<..VP4y -c:r- ?'::.rr" ~~ -D lro lAl lY(:rl'W-/./ J-.... 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Ii __'m'_~~~_==M,~--~1.,,-':::2!J::~',{:[~----4;(L~--~-~M~'-'---,--__~______~m__~_~~_~___'_m___m"______m~_'_'_~'~mm Lm mMM'____ '_M____LEss.:M-?\~~,1::!?~,---- __,__,~m'm _______m"________~_~~~______mm~___.__"__~'_~/"__m~"_____.__.u____ ,___~____m ___.'__._____ ........ m ------~---,---------~ ----- b _.~m_._~_"__m_u______m_" .___m__~____________~w_____________ _T._m______m~__ ___u_______u_u_ " ___~~_~_m__~_.___'_.__.___....,,_ ........".n..."...."".. m..mu~'uUW~,mn__hUUm.___'__m__m_m'm___ mu_m/UU'_____~~____ ,u_...__u~,-~-.F,O, ,,31435Z15490--M--,-.... u_~~_._~,_h______d__._~n~u._"___"~_~"~_ .____.U____-"""'_____._._____U____m~__.___~'__ m_m~__~____u_m_/____u_____d~___.___~ _____m________.__.~._V___hUm_U___'_~ ____-~-,--,--.-'--..~..hm..-"-' U.S. Department INSPECTION: DA TE, TIME: of Labor 54SOp c,.. .3 \4 S - 2:> 5 2- I ) OCCUPA TlONAL SAFETY AND HEAL TH ADMINISTRA TlON 3300 VICKERY ROAD NORTH SYRACUSE, NEW YORK 13212 Telephone (315)451*0808 Fax (315)451-1351 f - IJ Page ~ of ~ Pages Statement F.O.I.A. 314352154 91 - 4-VErVggffg: ..4 f,":Vo{ o_ Ly if V- J.-- ijcV~e-2% QI Yr 3 . 4 4.15.--, if?1f. -o 4 y; 34 r?*j 54:- wg: r- .. yr, -5- Y1.-, . - 'fV..1.L-~2VVQ -..`hf----VV V-- . . 5-. .. ?4Qg . .V-nuVEVT _g.14_ fi --, 1 iV?Viryr."; Vj VEV 5.. r' RM .-.. . . 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YA~ ..W\.-L cOt'} ?\,c-?~.(V. ?rNw~ 3q\ "'\~ (&?'J) 57/- t 713 ~6 o\.c & 4AE.5 ~rtTime Length of Service with ER: Total/Previous Experience: 1)~ Cd AJ;;tJ~AE+Jr Time on Current Job: Begin Statement: ( S~-? ~ L.ERL--W C!-, 11';.06 A C \<. ~ tJ ~ ~ 1ft) ([; r l ~ A-t..Jl::;-""C.$ ~ c;~ VfFA-VY f?fL ~(U2.-#HtJ "'v r W\'t-fJ,. 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Statement (Affirmation) :3 t 4- ~ 5.2. , 5" 4 Page 3 of :3 Page.s OSHA Form 181 F.O.I.A. 1988 C. May 314352154 98 Witness Statement Worksheet: Date/Time: Interview Location: Employee Name: DOB: Home Address: City: State/Zip: County: Home Phone: Cell Phone: Employer Name: Address: ~"A-l:>\?N City: State/Zip: Phone: Job Title: ~part Length of Service with ER: Total/Previous Experience: Time on Current Job: Begin Statement: --i~[~ww~~~___ ~~M~~'~~mm5k~r:::>'m'~_m ~~~mm~w,~__'__mm_~m_~__~____~__~ _~~_~~=~ ::~l~ ~~-=~_~=~-=/. et--. _=_ - _~_ M.~~~~~jV--D_mm~::!3:2.w~~m_l-\? ~_~~v E-._'_M,_.m_w__~~__~_mmwmm_~~__~~~..m_~~wm~ ww~L&?(~ww_l~LL~/"~_~~~w~~~'-~~M~~'~"w"",w",_,,,,~w~_w 0 i~ ~mmmwmLf1,j)J,tL4I A1iM..t_M7Qw_q~~e::::mm,,.l_L'-_,.._mwm"M'm'mm.mww~w~_mm~mm~'ww~~~._, 5' I /) .~~~ ~~~~l:~=~~?~~:~~==-~= . . www~,~' l_wmm1:::~~ I:.:-D_~,.A:-~_~LE:::-,J'r:,~ M.m.w_~__mw.l;;~n..>7VQ'-~G.~w_~~."::!mC_m~ ~w~ww~..~WM__" m__mmwm.. mm.m_~wm_~m.w==mH..~~..Dm. _~-"'~ i---~-~=.J2L.~~*~IDFH- .FN - =_~tt ;r~ J.....s~"'r--l. f'i.7Etf ~'w~.w~.wmmmw'm..__w~w~ww_ ,w.w_,w.w~'m'" ,m ~ w_?1::ZL~S}~.~., :--~li .. ,~. lli',~'", L.mm~wm.._m_~,~~_,,~,,'w'~~m_m~_~'m~mmm~ 'm'm~.~~~.?if:::. w.~,m'm'mJ;:::r.2.~ wwt!J__wmm._w.ww_~ w_~w_~,__,_~__..m_..ww .m...wwM___'~'__"~Mm,m____~~w~www. ~~w~w~_..._~w._w..m.~.wwww.w.w.wmm~_....~~w~._._w.mm.....w~w.. , .~",.~~u.T_.m'~ =w_w~~Jlt't}_.JZ~tl1P:..wmww_ .~~_~M_mm_'~__~ ===~?~~==~~~~~~~~i-==-== '?i ~~,~_~.,...,. 1-&7-J:m_~n:L_ _m_.~~~_m~ w..?'(mnc.mmmS??~~CJE",,_ww,.f~U1:>.m"_'~mmm_m'm_'~'w,_~___w., ~w.F; _ f,A:~314352,1-54.4-00,m.m.m__~w~ ~~ww''''''mm~.~_m_.m_mm m w~..,~.~~....~ m._~...~~mw..www..mm.~~~.._~M..~~...m.mWm..m...__...mm~.m~.~..._w_._.WW.~....__mm___.~....mm.wm~w~ U.S. Department INSPECTION: DATE, TIME: of Labor /2..: 314 'bEl:z. , 5.t..\ OCCUPA T10NAL SAFETYAND HEAL TH ADMINISTRA TION 3300 VICKERY ROAD NORTH SYRACUSE, NEW YORK 13212 Telephone (315)451-0808 ~--.t-1I (2. p Fax (315)451-1351 F.O.l.A. 314352154 101 .. . .. . aq. iz-. 3 ?sjiZ3>: V-- T?ffilxsx :"iif -. gw- V. 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I \ \ Witness Statement Worksheet: \ Date/Time: Interview Location: 5-;1-- II \ DOB: Home Address: City: State/Zip: County: Home Phone: Cell Phone: Employer Name: Address: City: State/Zip: Phone: Job Title: ~Part1'ime Length of Service with ER: Total/Previous Experience: Time on Current Job: Begin Statement: .--- ::,rA-!:.r S: of:) A- {vS? 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''''mm..?_''_'m , m.?m?m~m_~L::::~LS~~.w__~.1/r:;:pm.mmmmmmm. m?m?m._m?????~??_?.m~m'_..mUm~.?m~'m_?~,."..?m?m..m....m.. ?:::::......m~~~.."?_.m.?~.m~.....?. _m__mmm'm.m..._._...._'...wm~.m_'_~um_um._m~~_.m....m~?.... m..,..___m~m _??'~' .~~~~~.. ~'_C?mummm~?JJ:.f1::1:!:::~i::::Lm_m?"_'.._~.._? =-~.~.~~~:t!:.] n~~!~~i::~~~~~~~~-=~~= --- ; (? <--- _____?J~__~r.2~t::=__~~~--J.,J,)}:~--~'lL----~1':VJ?L~--~----~_______~_____~_____________ II _____.~ _____m__m_~_=_mJ;;;bl~~ _~N~_~ ~~_~_~m_~_LE:.l-_______~___:_ mm_~ __~L_"'fQ. _mmhh___~u____#~_ __W___~__~~U U_m m__ {.,(f:L~+~_?!?I.-IrJ2!r:Ei ____m_______m__m____m______m_m~_m -----..c:::::::--rt-. .~.u~~_.~.uu__~,__u_u_~___u ____4~flLl:::-~X---=---Dl2:-1:ss::dt,l?d:fI::-/J:Ly5.r-~7?:!~&b-_______~~_N__~__~'_/M'__.'h__ ________m ____m_________~_~h___?_ ____^___mu__u_ -------~----,,---, -~ __,__u__mmm --- m___w~~_/__________. ~___...~__~u~~_____~._~____________~_~m_u__m._~~__~~___,_____~~__~_____________~_m__<__~~m~___________________m______ -,--~- ----- _ ---- m_'__~."___ ,-,--- _m__~_m___m____.______ ___~'h______ _ ___m" m_ __'m___m___________~_~_/_____m_____m mmm__m___u'.V__________ mmm_____m____~__~__________/_...._ ._. __m ---,---n _u_ ,~____h___________m_ _____..____,__,,__~~___~_?_,_ ~~_. m mm_?_'~'__ <_~__U_~_~m__'/____~__///~_?'_m .._____n__"~___? _m.~ ____?uu___~,___ -- _..m '....m_'__ ummmnm'_ ---~ ---------- ~___mm _mm~__~'~_U___'~.-m~____m m___________.. u_,_ -- ...______~____m__ _________mn n m__~__, n n_ w___ m__~_._ u__mm_____~______._m_ m______ -~--- -",__.m___ mm_____~_____~~ ------------- mmm_m_ -~//~/'~~--,-- _ _....-------_/~- --- ------- m.u. _m_____ ------ -- ____mu._uu_m_ n_ ----- m__mm_ - ----- ... - .. n uwmm_ .. /,~~~-~- -- -~-- ----~ ._~_____-mw_ mm__m__m_mm__nn _____u_'~m_?_ -a? _____'om ""'w__.mwn.mm____ ..._U___.._~._~_______m___.__nn___.m __m_~___~_////_____~ ___mm__ _____,m____ ._____._m___.~~_~_~,__?_ 'm_~__ ---------- ------ --------- __________,___.__,_____U___________m___m ------------- _~____?,__ ____n_m --- _._'.___~_M_-'_ m__m m____?_,_ __,//______~__~_//___m_,u_n_____..m n __m_. -._~-------~------~---- _mm... ___m___ __m_______..___ _mm".mm m_'_______ n ___,~_.__'_m m~.._m n_ _mm_?____m____ n m_ 'm__h___m?~ !=n ---- ,- ~ SUPPORTING DEPOSITION SEC. 100.20 CPL STATE OF NEW YORK County of Chenango Town of Norwich F.OJA 314352154107 SUPPORTING DEPOSITION SEC. 100.20 C.L ) ) STATE OF NEW YORK County of Chenango Town of Norwich ) ) F.O.l.A. 314352154 108 Page 1 of I -OSHA From: OSHA Thursday, May 19, 2011 6:26 AM Sent: To: Subject: OSHA Please contact regarding the Braden Drilling fatality. I am sorry that it took so long to get back to with the Regional Office regarding ou r the status of the referral. I just completed a a conference call has submitted posted on this. a request to NIOSH for an HHE and we Also, there were two recent fatalities in the Syracuse region that I would like to follow-up on. - . . . Harbor Point Mineral Products, Utica, NY 24 year old Craig Bernier Braden Drilling, LLC from Buckhannon, WV operating on Rt. 80, Smyrna NY - - 23 year old Charles Bevins III visit the site(s) as pOSSible and review the investigation reports when they are available. Have the investigators completed their work on each of these cases? If not, could you ask them to provide the companies with our brochure to let them know that we may be contacting them for a site visit. Also, can you have the investigators contact me at their convenience. This emaH will serve as my FOIA request for further information on the above fatality cases. We would like to nee and support. SSlstant Area Director USDOL-OSHA 3300 Vickery Road Syracuse, New York 13212 ~~l.."", h......,.iiW.?:WWTh1i?Ml@.QQ!.,gov '~K~~. ~P?ease consider the 315-451-0808.." environment before printing this e-mail. 5/26 :lOll F/Q.I.A.314352154109 06/07/2011 14:39 Nornew (FAX) P.001/003 FAX TRANSMITTAL MEMO NO. OF PAGES TO: COMPANY: (]) FROM: Norse Energv Corp'4 USA FAX NUMBER_~I~ 4-;-' 1~ r::; ( PHONE NO. 607-336-4995 FAX NO. 607-336-4998 MESSAGE -~.c f\.R-~~~ co 0 0" :;;0 0 -0 :x ~ (.0) N -< :;;0 (fJ )> :;;0 rn " ::c )> Please accept my heartfelt condolences on the tragic death of your son, Charles Bevins III. We deeply regret the loss of his life. Please be assured that the Occupational Safety and Health Administration(OSHA) is investigating the circumstances surrounding Mr. Bevins' death. We realize that the results of this investigation are very important to you, so we will let you know about our findings as soon as the investigation is completed. We are committed to preventing injuries and illnesses on the job. Given our mission of providing safer workplaces, we understand that each wprker's death is a personal loss and tragedy. Since your son's death occurred in New York, which is part of OSHA's Region II, our investigators from the region will be handling the investigation. If you have any questions about the investigation (ref: OSHA Inspection No. 314352154), or any infoffilation you think might be helpful, please do not hesitate to contact Christopher R. Adams, Area Director, at the following address: USDOL/OSHA 3300 Vickery Road North Syracuse, NY 13212 Phone: (315) 451-0808 Fax: (315) 451-1351 Again, please accept my sincere sympathy and regret for your loss. If OSHA can be of any assistance to you, your family, or friends, please do not hesitate to contact us. F.O.IA 314352154113 Surface. Subsea, Supervisor level Land, Semi, & Drillship Rigs On Call 24j7 Chenango County Sheriffs Office 279 County Route 46 Nonvich, NY 13815 "',', ",., t , 607-334-2000 ',~~ .,' Phone: (607) 337.1863 e...nlai1: Fax; (607) 336-3110 ren.chenuI10"(J.n\<..us I ~ '4 ....11 #''.# corp TEL; 607-33 CELL: (b)(7)( (b)(7)(C) & (b)(7)(oj norse energy FAX: 607-336.4998 @NorseEnergy.com NORSEENERGYCOR~USA 23 EalonAvenue. Norwich, NY 13815 www.NorseEnergy.com I ".:.}"'corp TEL: MOB ILE: (b}?l!2}11l:-.~~}? 0 ::::J: > SSN#: N/A DR#: N/A -< I U) > C? t::l <:: fT1 0 lfi - OJ -< Date of Incident: 01-May-2011 :Xl 0 ::r: - :Xl (I) .. c.,.) J> :::0 1"'> :r: rn ):> 0"\ This office requests a copy of the investigation report involving the above person. Location of the incident was across from intersection of State Route 80 and Stowell Road in the Town of Smyrna, Chenango County, New York. Thank you for your cooperation in this matter. Respectfully, MEO Case #: M11-0487 100 ELIZABETH F.O.I.A. 314352154 116 ONGOV.NET BLACKWELL STREET, SYRACUS]~, N.EW YORK 13210 PHONE 315.435.3163 FAX 315.435.3319 08-10-'11 10:40 FROM-OC MEDICAL EXAMINER 3154353319 T-617 P0??1/??15 F-870 JOANNE M. MAHONey County EX~CJ\1live MEDIC);;~L EXAMINER'S OF1~CE ONONDAGA COUNTY HEALTH DEPARTMENT CENTER FOR FORENSIC SCIENCES CYNTHIA B. MORROW, MO, MPH Commissioner of Heallh . RQnERT STaPP ACHBR. MD ChiefMedicall?xaminer FAX TO: lf1_ttr Adams. CIH) Area U.S. Dept. of Labor-Christopher Director FROM: FAX: DATE: 451"1351 8/10/11 Your written request far the AutapsylToxicalogy Reports for: Bevins III MEO Case #M11-0487 Charles RE: PAGES: (including cover sheet) 15 *please protect this fax by making a photocopy immediately. NOTES: you have received this telecopy in error. please notify the sender IMMEDIATELY to arrange for the return of these documents. CONFIDENTIALITY NOTICE: The document(s) accompanying this telecopy transmission contains confidential information, belonging to the sender that is legally privileged. This information is intended only for the use of the individual or entity named above. The authorized recipient of this information is prohibited from disclosing this information to any other party and is required to destroy the information after its stated need has been fulfilled, unless otherwise required by state law. If you are not the intended recipient. you are hereby notified that any disclosure, copying, distribution. If or action taken in reliance on the contents of these documents is strictly prohibited. 100 ELIZABETH BLACKWELL STREET, SYRACUSE, NEW YORK ONGOV.NE:r 13210 PHONE 315.435.3163 FAX 315.43S.3319 F.O.I.A. 314352154 117 08-10-'11 10:40 FROM-OC MEDICAL EXAMINER 3154353319 T-617 P0?02/0015 F-870 MEDICAL EXAMINER'S OFFICE ONONDAGA COUNTY HEALTH DEPARTMENT CENTER FOR FORENSIC SCIENCES , JOANN.B COlllllY 2xecutive M. MAHONEY CYNTHIA B. MORROW, MD, MPH COlM?ss?()fI$l' of Health ROl3RRT STOPPACHER, MD ChiefMt?ical Examiner CASE # NAME: MII-0487 Charles Edward Bevins JURISDICTION: Onondaga County HI 100 ELIZABETH BLACKWELL STREET. SYRACUS:E, NEW YORK 13210 ONGOV.NET PHONE 315.435.3163 FAX 315.435.3319 1 F,Q,IA 314352154118 08-10-'11 1?:40 FROM-OC MEDICAL EXAMINER 3154353319 T-617 P???3/??15 F-87? CHARLES BEVINS ill CASE FILE # MII-0487 F.O.I.A. 314352154 119 08-10-'11 10:41 FROM-OC MEDICAL EXAMINER 3154353319 T-617 P??04/??15 F-870 CHARLES BEVINS m CASE Fll..E # MIl-0487 F.e.l.A. 314352154 120 08-10-'11 10:41 FROM-OC MEDICAL EXAMINER 3154353319 T-617 P0??5/0?15 F-870 CHARLES BEVINS III CASE Fll..E # MIl ~0487 F.O.I.A. 314352154 121 I ~ 08-10-'11 10:41 FROM-DC MEDICAL EXAMINER 3154353319 T-617 P0?06/?015 F-870 CHARLES BEVINS ill CASE FlLE # MII-04S7 122 F.O.I.A. 314352154 ?8-10-'11 10:41 FROM-OC MEDICAL EXAMINER 3154353319 T-617 P?007/??15 F-870 CHARLES BEVINS HI CASE FILE # MIl ~0487 F.O.IA 314352154 123 ?8-10-'11 10:41 FROM-OC MEDICAL EXAMINER 3154353319 T-617 P???8/??15 F-870 CHARLES BEVINS m CASE FILE # MII-048.7 F.O.I.A. 314352154 124 08-10-'11 10:41 FROM-OC MEDICAL EXAMINER 3154353319 T-617 P00?9/??15 F-87? CHARLES BEVINS III CASE FILE # MII-0487 F.O.lA 314352154 125 08-10-'11 10:41 FROM-OC MEDICAL EXAMINER 3154353319 T-617 P0?1?;?015 F-870 CH~ES BEVINS m CASE FlLE # MI1-0487 F.O.l.A. 314352154126 08-10-'11 10:41 FROM-OC MEDICAL EXAMINER 3154353319 T-617 P?011/0?15 F-87? CHARLES BEVINS ill CASE Fn...E # MII-0487 F.O.I.A. 314352154 127 ?8-10-'11 10:41 FROM-OC MEDICAL EXAMINER 3154353319 T-617 P0?12/0?15 F-870 CHARLES BEVINS III CASE FILE # MII-0487 F.O.I.A. 314352154 128 08-10-'11 1?:41 FROM-OC MEDICAL EXAMINER 3154353319 T-617 P??13/??15 F-87? CHARLES BEVINS m CASE FILE # Ml140487 ~ _ F.O.I.A. 314352154 129 -' _ _ .- _ _ __ -.r> _ -, 08-10-'11 10:42 FROM-OC MEDICAL EXAMINER 3154353319 T-617 i l P0?14/??15 F-870 i ~ ! JOANNE M. /odAHONEY (;c)\lnty axcootiw FORENSIC TOXICOLOGY LABORATORY ONONDAGA COUNTY HEALTH DEPARTMENT CENTER FOR FORENSIC SCIENCES CYNTHIA B. MORROW, MD, MPIi Commissionllr ofHeallh RQIJERT STOPPACHB!l., CbiefMedical MD ElC/It\\?I\llI' MARK L[CHtENW;Il.NER.. PbI) Toxicologist LABORATORY II: MII-0487 AGENCYCASE#: Mll.o487 DATE RECEIVED; May 03, 2011 F.O.I.A. 314352154 130 08-10-'11 10:42 Name: Agency Case#: . FROM-OC MEDICAL EXAMINER 3154353319 T-617 P0015/0015 F-870 Charles E. Bevins MII-0481 Ml1.0487 III Laboratory Case#: F.O.I.A. 314352154 131 t u. S. Department of bor Occupational Safety Administration . and Health Investigation ~ BRADEN DRILLING, 09:19 am Thu Oct 13, 2011 11:05am Summary )(>~I1y~~ti~*t~?A>< . Stlll:l?ll?.. 1*~P~q9#~~~il.i 314352154 M. Male Abstract: Victim was standing with his back against a steel structure (doghouse) guiding a rough terrain forklift toward him. The Operator was telescoping the forks while driving forward on soft, muddy terrain, striking the victim in the abdomen, pinning him against the steel structure. F.O.l.A. 314352154 132 OSHA-170pr?nt(Rev. 11/93) Revised 07/07/10 Condolence Itr & Ins Results Tor family is in the NCR under Misc. Ltr G /The Cord..cilence Asst Secretary Itr is in Q drive FATALITY FILE CHECKLIST TO DO LIST 1. CSHO ,s--q-Il Was Next of Kin contacted by AD via phone? Date of contact YES INIT SUPERV. INIT ~ Circle: 2. Was the NO ext of Kin letter reviewed by AD and then mailed to Next of ~:~~Ie: @ Streets & Circle: NO 3. Was Next of Kin letter drafted for Dr. Michael's signature and E-mailed with incident date to AAD. AAD to forward to Stephanie Douglas, April B~\mas.NO 4. If the 6-month date is different than the Opening Conference Date, what is it? c:) Date:_I_I_ 5..Was Circle: OSHA-36 put a~o,f theNO YE in the AD's office? ?~".., ?'?Ze?'AI'i: v ..-, h..J AA? 6. Did you Circle: ~ ~ the FACE Office @ 1-866-807-2130? NO S-;{.-tJ 7a. Was the Circle: j:4Sf Y or N? OSHA-l Coded IMMLANG YES If yes go to 7b 7b. If Yes, was Primary Circle: @ NO Language of the Im igrant a factor? YES If YES, Circle: was the onl?ne YES face. IMML NO G data filled in? 8. Was ~ 30days? Circle: Irtye~ t..--:;,. with Next of Kin accomplished within the pll-9t-1E ~ first c;::. ~ (lib. NO VI(l41J'lIA Does Diary sheet reflect when contact was made? Circle: 9. Was Circle: ~ NO ne~.~in contacted about proposed citations prior to issuance? ~ NO Was a copy of the Citation sent to the Next of Kin upon Citation issuance: Circle: YES NO with Dr. Michael's signature? 9. Was Next of Kin letter received via ECircle: G7 YES NO /-tAtt () CoP'? Were relevant forms 1, la, lb, 36 & 170 sent to the University of Tennessee for Construction Fatalities? 10. . Circl?: NO F.O.I.A. 314352154133 Establishment Search InspectiQ' ...l)etail-- OSHA View Page 1 ofl Establishment Search Inspection Detail -- OSHA View - Inspection: 312292162 Office: Nr: 312292162 Braden Drilling Lie Skyline Road Braden Drilling lie Report ID: 0317700 Open: 07/24/2009 Nr Employees: Millerton, PA 16936 SIC: 1381/Drilling Oil and Gas Wells NAICS: 213111/Drilling Oil and Gas Wells Mailing: P.O. Box Nr Controlled: Union Status: NonUnion 547, Buckhannon, WV 26201 Employees Covered: Advance Notice: N Inspection Type: Planned Scope: Complete Ownership: Private Safety/Health: Safety Emphasis: L:Oilgas Hours Spent: 19.0 Close Conference: 07/24/2009 Close Case: 03/29/2010 ..'I:!.~I~~!().nS~~I11~ry ;mnmm ..' ..__m.m.j~<:r.~o':l.~.!~~~.~':lIL~~p~at12!n~e':L~.~clas.sJ!()~~Lmm., . Initial Vlolations!4 fcu~;~~tyi~??II~~.sF.. J..........!I1.iti~!~~l1al~yI9?99:99 j .<.:t1':':~I1~~~?ll~L~~~g.nO'9 FTAAmount' . ... ...n . ,:,:4' .m_+.m.w..mm_m.mf4' . . W W .............:~~Q():Q.O: !6440.00' .wn__M"",.. . 'w_mu 10 Standard Type alQQl Serious 5AOOOl 2. ?lQQ2A Serious 19100184 lOl 3. QJ.Q.Q~ Serious 19100184 lO9 III 4.QJQQ~ Serious 19100303 GOl II 5.0J004 Serious 19100305 BOl 1. Issuance 09/25/200910/07/2009 Violation Items AC Curr$ Init$ Fta$ Contest Abate X I I X X 29404200 1750 2500 0 0 0 0 0 lastEvent I-Informal Settlement I-Informal Settlement 09/25/200909/30/2009 09/25/2009 09/30/2009 09/25/2009 10/07/2009 09/25/200910/07/2009 875 1250 875 1250 Actions 0 0 I I-Informal Settlement -Informal Settlement Penalty Debt Collection Due Date: Empr Phone: 304-473-1800 163 Nr Type Payments -- 6440.00/ 0.00 Date Penalty FTAOrigin B 10/09/2009 6440.00 @6g(;kJQTQP 't!JNY:i::..-Q.shf't..9.Q.Y WW\'1"liJ.tlPrn<;.L.?'Q1,.gQY Vjyy!'r.xfQ.L.9.oy Q:!!L@ct Us I Freedom of InfOrrDSl!i.9lL/1?! i ?Jl.J;tomer SUQ!J~.\1 Pli\@9'..?..I1Q..S~Qrit'L~tat<;mQ.flt I Pi$?J?lm~r$ Occupational Safety & Health Administration . 200 constitution Avenue, NW Washington, DC 20210 . F.O.IA 314352154 134 http://intranet.osha.govlcgi-binlestlest1xp?i=312292162 5/3/2011 Fatality Information .Page 1 of1 From: Adams, Chris R . OSHA [adams.chris.r@dol.gov] Sent: To: Sunday, May 01, 2011 3:22 PM .~.l@roadrunner.com Subject: Fatality Information I know Drilling Fatality happened in Smyrna, NY at about 9 this morning, the victim died at 12:40 this afternoon. The victim was standing/walking in front of a forklift that was carrying the dog house when the forklift tipped forward on soft ground and pinned the employee between the dog house and a wall. the Onondaga Cty Medical Examiners office who did the autopsy. His number is appreciate a call lotting them know what had happened to see if it is consistent with what they were told. You can call him Monday. I was also called and wo Give me a caU when you finish up at the site. 315.952.2605 Thanks for going Chris NOTICE: This e-mail message and any attachments to it may contain confidential information. The information contained in th?s transmission is intended solely for the use of the individual(s) or entities to which the e.mail is addressed. If you are not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that you are prohibited from reviewing, retransmitting, converting to hard copy, copying, disseminating, or otherwise using in any manner this e.mail or any attachments to it. If you have received this message in error. please notify the sender by replying to this message and delete it from your computer. 5/112011 F.O.lA 314352154 135 Establishment Search Inspectiqp~etail -- OSHA View P?ge 1 of1 Establishment Search Inspection Detail .- OSHA View 313376873 Nr: 313376873 - Phoenix Inc. Report ID: 0316400 Open: 09/09/2010 Phoenix Drilling, Inc. Sauls Run Rd., Off Rt. 33 Buckhannon, WV 26201 Nr Employees: Nr Controlled: Union Status: NonUnion SIC: B8l/Drilling Oil and Gas Wells NAICS: 213111/Dr?lling Oil and Gas Wells Mailing: 5 Red Rock Rd. Buckhannon, WV 26201 , Inspection Type: Planned Employees Advance Notice: Close Conference: Close Case: Scope: Complete Private Safety/Health: Safety Emphasis: L:Oilgas Ownership: 09/09/2010 04/07/2011 Opt Report Nr: 020 Violation Violation Items AC Curr$ Init$ Fta$ Contest Abate Standard Issuance LastEvent 0 1. mQQJ Serious 19100022 C 01/24/2011 01/28/2011 X 1125 1500 I-Informal Settlement X 1125 1500 0 I-Informal Settlement 2. 01002 Serious 19100106 B06 01/24/2011 01/28/2011 0 01/24/2011 01/28/2011 X 1125 1500 I-Informal Settlement 3. Olna:? Serious 19100132 A 10 Type and Administrative Actions Penalty Debt Collection Due Date: Empr Phone: 304-473-1800 I 1 Area Office Interest Area Office letter Administrative Actions 03/30/2011 2.81 10.00 FTAOrigin U 163 Nr Type Payments -- 3387.81/ 0.00 Date Penalty 3387.81 ~?fj.ij?~mt?luIQI1 ~Y~!~1"'i.~Jl?tlg.~9J)Y ~'Y.!:!.!.!..,JJ2_QQr.rrf2t..QQL9.Q.~~ WW_Y'!.~J~QJ,.gQY ?onta,ct UJi I EL'SS'J?fLrn.QflDformatio,n Act I ?!l$!;Qm~LS!lry'gy priva?y and Securjl?t,a!.!illlen? I Q?~,?laJm~r~ Occupational Safety & Health Administration 200 Constitution Avenue, NW Washington, DC l02l0 F.O.lA 314352154136 http:!?intranet.osha.gov/cgi-binJest/estlxp?i=3l3376873 5/3/2011 Establishment Search Inspectiot'l)etail -- OSHA View Page 1 of2 Establishment Search Inspection Detail -- OSHA View - Phoenix Drilling, Inc. Office: Charleston m,u, Nr: 313374068 Report ID: 0316400 Open: 06/17/2010 Nr Employees: Phoenix Drilling, Inc. Porter Maxwell #11, Rig 7 Nr Controlled: Union Status: NonUnion West Union, WV 26456 SIC: 1381/Drilling Oil and Gas Wells NAICS: 213111/Drilling Oil and Gas Wells Mailing: P.O. Box 2289 , Buckhannon, WV 26201 Inspection Type: Planned Employees Covered: Advance Notice: Hours Spent: 16.5 Close Conference: 06/17/2010 Close Case: 12/22/2010 Scope: Partial Ownership: Private Safety/Health: Safety Emphasis: L:Oilgas Opt Report Nr: 417 _~#~_~_~u_~_~___N~~"~'''_~<",<~M''_~N_>>/"'_'~_~~_~____u,>'<,,/_~_L_ L . Ir1itiill'Ji()lilti()n~!eta?l -- OSHA Vi?w P?ge 1 of 1 U.S. Department of Labor Establishment Search Inspection Detail -- OSHA View - Phoenix Drilling, Inc. Office: Charleston Nr: 309474377 Report ID: 0316400 Open: 11/17/2006 Nr Employees' Nr Controlled Union Status: NonUnion Well Phoenix Drilling, Inc. #507348, Rig #4 Wharton, WV 25208 SIC: 1381/Dr?lling Oil and Gas Wells NArCS: 213111/Drilling Oil and Gas Wells Mailing: P.O. Box 2289 Buckhannon, WV 26201 , Inspection Type: Planned Employees Covered: [m(~] 11/17/2006 02/27/2007 Scope: Complete Advance Notice: N Ownership: Private Safety/Health: Hours Spent: 20.5 Close Conference: Health Emphasis: L:Oilgas Close Case: Opt Report Nr: 206 mm@_~_mM~hmmm@_J~~;i~~il~ITff;;ij~~J:'~~!J?i:h~;T-~~M~-~_m;~n_~~~;m ~~~~~~~~~.~~ ?urrE!f1t~Yi()Ii3~i()El~[_~l-ll.~~ ~l~.. If1~i~t.~i3lm':'e!ll~E:? m'm_}i1_?2:221 ~~~ Violation Summary Initial Violations! ' 12. Items 2 ~~~, 131l,l_11 ~~...-~l~.~.~Q:,QQj ~,_S.~~~f1!'Pena !!Y..L M.@m_FT A A!!1~.l;I mJ4!QQ:2Qi~'<1:~2Q:221 Violation nt;.~L_~m"m.mi.-~mmn_.' Abate AC Curr$ X X Standard Type 1. Q.tQ01 Repeat 19100023 C01 2. .Q1QQ.:G Repeat 19101200 E01 I 10 Issuance Init$ Fta$ Contest 0 0 11/29/200601/15/2007 11/29/2006 12/06/2006 4000 6000 100 120 LastEvent I-Informal Settlement I-Informal Settlement and Administrative Actions Penalty Debt Collection Due Date: 12/22/2006 Empr Phone: 304-473-1800 163 Nr Payments -- 4100.001 0.00 Date Type Penalty FTAOrigin B 12/26/2006 4100.00 @~??.k:JQTQP WWw,osh?gQY Contact Us wV'fw.Ij~mm_mmmmm~mmm...m.i~m...mmmm..i~.mm ......'m~mml?.mmmmmm' ' .....mm l~urrentVi()la.!!()':l.:l?m~mmmmJm..m....Jm~m~m~J~m..mm.m.mi~m'.m.~..i m.m"?8o().()()C==[.~.mm'.mmmT39??:'o?l C=?~~~~~}'fl~~~?:~()()~~[m FTA Amounti ' , Initial Penalty!2700.00! ,3600.001 ;6300.001 , Violation Items ID Type Standard Issuance Abate AC Curr$ X X X X Init$ Fta$ Contest 0 0 0 LastEvent I-Informal Settlement I-Informal Settlement 02/24/200603/03/2006 02/24/200603/02/2006 2. 01002 Serious 19100136 A Deleted 3. 02001 Repeat 19101200 EOl 02/24/200603/06/2006 4.o2Q.Q2 Repeat 19100141 COl 02/241200603/02/2006 5. 03(WJ Other 19101200 EOl 102/24/200603/06/2006 1. 0100J Serious 19100022 C 1500 1500 600 1200 0 1800 1800 1800 0 0 0 0 X and Administrative Actions Penalty Debt Collection Due Date: 03/21/2006 Empr Phone: 304-473-1800 163 Nr Payments -- 3900.001 0.00 Penalty Date Type FTA Origin Balance B 03/28/2006 3900.00 F.O.lA 314352154 141 http://intranet.osha.gov Icgi-binlest! est 1xp ?i=3094 71969 5/3/2011 Establishment Search Inspectior1:')etail -- OSHA View Page 1 of2 U.S. Department of labor Establishment Search Inspection Detail -- OSHA View Inspection: Office: Nr: 307071803 Phoenix Drilling, Inc. Inc. Report ID: 0316400 Open: 06/01/2005 Nr Employees: Us Steel #63 Oil and Gas Wells Oceana, WV 26127 SIC: 1381/Drilling Mailing: Po Box NAICS: 213111/Drilling Oil and Gas Wells Nr Controlled: Union Status: NonUnion 2289, Buckhannon, WV 26201 Employees Covered: Inspection Type: Planned Scope: Complete Advance Notice: Ownership; Private Hours Spent: 17.0 Close Conference: Safety/Health: Safety Planning Guide: Safety-Manufacturing Emphasis: L:Oilgas 06/01/2005 Close Case: 07/22/2005 Opt Report Nr: 2009 ......rse~~~II~i!!rJTI~~;;t.@?;[~~~f()t?l, !wI~it.~?ll\li()l?lti()~~l?w !Current Violations!7 .. ........... .... . ..........................w.............. i8 11. ..www~..._..:........I?..~?.9Q1 L...I~~~.::P.:e.~~.t!i~~?2:Q2J....w..! . w! . ...... ww.. L1..... wwi8 .. .. , L~~.r:~r:~~~.?ll~1~~~2:..QQL__L...__Lw....J____...l5750.00 i . ~__...._.._.~~w~~().':l.r:~L...._.w.._l..._.~_l.. ........w.. w~....__..i Violation Items 1. 2. Standard ID Type Ql(tQlA Serious 19101200 EOI .01Q.Q1a Serious 19101200 GOI Q1Q.Q.1C Serious Abate Issuance 06/13/200506/22/2005 AC Curr$ Init$ Fta$ Contest LastEvent X 0 750 750 X X X 0 3. 4. 5. 19101200 H01 06/13/200506/22/2005 06/13/200506/22/2005 06/13/200506/22/2005 0 0 0 0 0 0 0 0 Q1QQ.2 Serious 19100147 C01 750 0 750 0 6. Q1QQJA Serious 19100024 H QJQQJ~ Serious 19100023 C01 Serious 19101030 COI Serious 19100145 C03 7. olOQ':!: 8.0100.5 9. 06/13/200506/22/2005 06/13/200506/22/2005 06/13/200506/22/2005 06/13/200506/22/2005 X X X 1000 1000 750 750 0 0 X X QJOQQ Serious 19100253 B04 III 06/13/200506/22/2005 1O.Q1QQZ Serious 19100141 COl I 06/13/2005 06/22/2005 X X 750 750 1000 1000 750 750 0 0 0 0 0 11. 02.QOJ. Other 19100157 COI 06/13/200506/22/2005 and Administrative Actions Penalty Debt Collection Due Date: Empr Phone: 304-473-0430 Penalty FTAOrigin B 163 Nr Type Payments -- 5750.001 0.00 Date 07/13/2005 5750.00 F.O.I.A. 314352154 142 http://intranet.osha.gov /cgi-binl est/est I xp ?i=307071803 5/3/2011 Entity Information Page10f2 NYS D?partment of State Division of Corporations Entity Information The information contained in this database is current through May 2, 2011. Selected Entity Name: PHOENIX DRILLING, INC. Selected Entity Status Information Current Entity Name: PHOENIX DRILLING, INC. Initial DOS Filing Date: DECEMBER 28, 1999 County: Jurisdiction: ALBANY WEST VIRGINIA FOREIGN BUSINESS CORPORATION Entity Type: Current Entity Status: ACTIVE Se1e.GtedEntity Address Information DOS Process (Address to which DOS will mail process if accepted on behalf of the entity) RT. 2 BOX 382A PHOENIX DRILLING, INe. BUCKHANNON, WEST VIRGINIA, 26201 Chairman or Chief Executive Officer BRADLEY T. LIGGETT RT 2, BOX 382A BUCKHANNON, WEST VIRGINIA, 26201 Principal Executive Office PHOENIX DRILLING, INe. RT 2, BOX 382A BUCKHANNON, WEST VIRGINIA, 26201 Registered Agent NONE This office does not record information regarding the names and addresses of officers, shareholders or directors of nonprofessional corporations except the chief executive officer, if provided, which would be listed above. Professional corporations must include the name(s) and address(es) of the initial officers, directors, and shareholders in the initial certificate F.O.I.A. 314352154 143 http://appext9.dos.state.ny.us!corp yublic/CORPSEARCH.ENTITY _INFORMATION?p _ n... 5/3/2011 Entity Information Page 2 of2 of incorporation, however this information is not "recorded and only available by yi~lYingJltt;: ?fl1ili?fll~, *Stock Information # of Shares Type of Stock $ Value per Share No Information Available *Stock information is applicable to domestic business corporations. Name History Filing Date Name Type Entity Name DEe 28, 1999 Actual PHOENIX DRILLING, INC. A Fictitious name must be used when the Actual name of a foreign entity is unavailable for use in New York State. The entity must use the fictitious name when conducting its activities or business in New York State. NOTE: New York State does not issue organizational identification numbers. S~4r?ltResult? SerYj?<::~!PfQgram~ N.~w S_e..m::?h IPriYa?YP91i?y RomeJL~ I A???ssi?ilityJ:>91i?y I Risdaimer I RetJlmJ9J2QS I QQlla?tJJs F.O.l.A. 314352154 144 http://appext9.dos.state.ny.us/corp -public/CORPSEARCRENTITY INFORiVfA TION?p _ _n... 5/3/2011 Braden Drilling LLC, Buckhanr '1, WV : R?"iews and maps - Yahoo! L('~ql Page 1 ?f 1 New User? Register He!p ?nwJfr'/.i MaH wi To-olbar YArIoOf@ (1 raUng) LOCAL (304) 473-1730 Braden Drilling LLC Sh3re yOur photos of Braden DrilRng LLe. Upload flOW: ~:a~ !iiil @l ri?J 84 Red Rock Rd, Buckhannon. WV 26201 (j I. 4 Recent Reviews 1-1 of 1 !?? Home & (3a,deo ;;. CGnstrncHon, RBf)(?. ~"?!Y,pmvfHn?n? )0 "{veil DrHHng Sr.T,jtC-~S. -'" Brader! Drilbng LLC F.O.LA. 314352154145 http://local.yahoo.com/info-45 59143 9-braden-drilling-llc-buckhannon 5/3/2011 ~> w --.~~ **********'1(***'1( -COMM. JOURNlt... ***'1(**'1('1(**'1(**'1(***** DATE MAY-Ot /11 ~**~* TIME 13;53 ~*~***** END=MAY-02 MODE = MEMORY TRANSMISSION START=MAY-02 13:52 13;53 FILE NO.=875 STN NO. COMM. ONE-TOUCH/ !BBR NO. OK D STATION NAME/EMAIL ADDRESS/TELEPHONE NO. PAGES DURATION 001 12123372375 002/002 00:00;28 -us **'1('1('1( nEPT OF LABOR OSHA - e-STUDI0190F *****'1(**'1('1(******'1( _ - *~'I(*~ 315 451 1351- ~~'I(*~~'I(*~ ~+'i-~TO,/:' U. S. Deportment of Lebar OccupaTional Sofety end Health Administration ~ 3300 Ncrtn Syracuse, NY 13212-4~~1 (315) 451-0808 Fox (315) 451.1351 Vickery Rood ~- 00, j ~~~~ ~ <;. ~ >1-~,f~'T::')o<\~"" ~ FACSIMILE TRANSMISSION RECORD FAX COVER LETTER Date: To: We ore rransmittin9 2- pages, includin9 this cover letter. If the transmission is not complete, please cali: ; .?::". _ Telephone: 315-451-0808 Extension Comments: Fax: 315-451-1351 {" o:S \4 ^ - S ~ 13 .....o~ Dv< \ l,'~,.) Q)SHA 0".,...<..' V F.O.I.A. 314352154 146 " S.f':~'f..\!'\?~Ulti\ Adm.~I)V"'~''''''' '-k"'W'>'J.csha.gov u. S. Department of Labor Occupational Safety and Health Administration 3300 Vickery Road North Syracuse, NY 13212-4531 (315) 451-0808 Fax (315) 451-1351 FACSIMILE TRANSMISSION RECORD FAX COVER LETTER Date: To: From: We are transmitting 2is not pages, including this cover letter. If the transmission complete, please cal/: ; Telephone: 315-451-0808 Extension Comments: Fax: 315-451-1351 \ o . . . 017 .., : .' . .. : . ':. .... .$it~i...d...//I ........PI1Ql1,?\ ..... . ~~I .. . '. .. t . '. '. .... .: Iy1~ilitig :.Address .: .... . ". P.O. Box 547 Buckhannon, WV 26201 Smyrna, .......Ev?l1t:A.ddressBraden Rig #2 Site, Route 80 (if4?f?er.~O).' .. NY 13464 Pr?J:lary 1623 . .i. ........../........... .'. ~IC No. 237120 1.:p...............r........I.~....m......................a... Employees +/i//,j INAteS . of 1(bJ:~1~'- .... ....II?W#ef~Np . A. Private Sector { .......,05/01111 .~~. i iT'.",", I ..' Telephone ? f Einployee .' '" . Group Name(s): Representation' Classifi?tiQri' .... A. Fatality {< ..... ,,, '.' .' .... d...... .... ....... .. .... . ....i. '. ".it> .... < ..... ..'d / ..' 05/01111 .}.i.:/ /. ./.... .... ....... ...... ii. 09:19am /. .... ii. :d. ..... .... ..... .... '. ..' '{i/ ..../)..i .i/. / .. Number '. .... of Hospit?lized' .' '" . .... Injuries o NonHosplt?ljied Injuries . . . .'Number of Number lJmiccounted for . .' ". 1 o .. o '.' ...... Prelifu?nary ...)./....... ...i.X> : Ty??qfEyent Caught between operating J)~scription '.:. . a Lull, was moving a steel staircase to a trailer for the drilling rig, when another employee was caught between the staircase on the forks of the Lull and the trailer, receiving fatal injuries. ....d......... An employee ..' . .... . . i . . ". )..i::.. x. . Strategic' Ini??atives . . . .' National' Emphasis. . li" ;.......<~. ....I:..~ '. . Yes ". '1' .~. ..' .......... . '. . . :... .... ,----". ? . " - ...... . . , ..... . . ........ (1:1.t(r)K~) ....... '. -" , .; ). . ........ . Optional Inf?rmation .' . .. Type lID ..' O?tionaUi?ormation Value . . :.:. . ". .' .' ..:: .... . '. . '.' . . :. COinments . I;' .. '.. F.O.l.A. 314352154 148 OSHA-36 (Rev. 7i02) 1..ssOO-321-0SHA Hotline Referral csc After Houts Transcript Notice: This is a transcript of a call received after hours via. OSHA's 1-800 system. It is taken from a recorded message provided by the caller, and is reproduced in its entirety. Blank entries below indicate the caller did not provide this information via the recording. Unless otherwise indicated below, it is OSHA policy to notify Area Office personnel having jurisdiction as soon as feasible concerning fatality/catastrophe or life-threatening situations. Fatality / Hospitalization Transcript # Actual Call Type: Fatality / Hospitalization Date/Time Received _ 05/01/2011 14:58:00 Date/Time Retrieved from 05/01/2011 14:59:00 1-84540999 Establishment Name: Mailbox Mailbox Braden Drilling State Highway 80 direcrlyacross from Stowell RoadSmyrna Establishment Address: NY 13464 Establishment Phone #: Caller Provi (spelled out). I'm with the Onondaga County Medical Examiners Yes, this is Calling to report a fatality at a Office in Syracuse, NY. My phone number is area code workplace. The actual incident did not occur ?11 Syr~\lse it actually Qccurred in the town of Smyrna (spelled out) which is in Chenango (spelled out) County. The incident occurred tlllS mort1?ng at 9:19 am. The deceased was taken from the scene to Thiversity Hospital, here in Syracuse, where he was pronounced dead around 12:40 pm. Apparently there was no police so this is the first I can go over the notification to your office. If you could please give me a call back articulars with Workplace or ou. Caller's Zi Code: 13464 OSHA Reporting ID: Immediate referral: 215800 Date/Time referred to OSHA: 05/01/2011 15:05:00 OSHA Office: North Syracuse OSHA (315) 451-0808 Referred to CSHO: Transcriber Name: Christopher Yes OSHl\. Phone#: Adams Special Considerations: Researched nearest zip code. Link to 1-84540954. Called caller back. Action: Will fot\vard to OSHA. For assistance with problems or for help in sending the transcript to another office or jurisdiction, please contact Ray Abel (abeJ.ray@doLgov) at SLTC (801-233-4929) or the Content Research Analyst -on Call (CRA-C) at (CC-DOL-CRA@csc.com) at the OSHA contact number (1-800-321-6742). Please indicate this is an OSHA escalation. Please refer all other inquiries to your