Inspection Detail
Inspection: 108175605 - San Antonio Forming (U.S.) Inc
Inspection Information - Office: Arizona Division Of Occupational Safety And Health (Adosh)
Site Address:
San Antonio Forming (U.S.) Inc
19 W Palm Lane
Phoenix, AZ 85003
Mailing Address:
2425 E Thomas Suite #14, Phoenix, AZ 85016
Union Status: NonUnion
SIC:1751
NAICS: 0
Inspection Type: Planned
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 02/23/1990
Planning Guide: Safety-Construction
Emphasis:
Case Closed: 09/25/1990
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 360188700 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | 2 | |||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $640 | $0 | $0 | $0 | $0 | $640 |
| Current Penalty | $320 | $0 | $0 | $0 | $0 | $320 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Serious | 19260500 B08 | 04/09/1990 | 04/12/1990 | $320 | $640 | $0 | 05/03/1990 | F - Formal Settlement | |
| 2. | 02001 | Other | 19260025 A | 04/09/1990 | 04/12/1990 | $0 | $0 | $0 | 05/03/1990 | F - Formal Settlement | Citation has been deleted. |
Investigation Summary
Employee #1 was clearing a path for a cart loaded with sprinkler pipes, and moved a piece of plywood that he apparently thought was scrap. The plywood was actually an unmarked floor hole cover held in place by 16-penny nails driven through the plywood around the concrete inside the perimeter of the opening. Employee #1 fell through the opening, struck his head on the 13th floor, then landed on the 12th floor. He sustained serious head and shoulder injuries. The unmarked cover was surrounded by debris and easily moved by picking it up.
Keywords: HEAD, COVER, SHOULDER, FALL, FLOOR OPENING, UNSECURED, WORK RULES, STRUCK AGAINST, CONSTRUCTION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 108175605 | Occupation Not Listed |
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