Inspection Detail
Inspection: 108961426 - United Forming
Inspection Information - Office: Atlanta West Area Office
Site Address:
United Forming
908 18th Street
Columbus, GA 31901
Mailing Address:
1895 Pheonix Blvd., One Crown Center, Suite 110, Atlanta, GA 30346
Union Status: NonUnion
SIC:1542
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 06/29/1994
Emphasis:
Case Closed: 09/21/1994
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 360823819 | ||
| Referral | 901173484 | Yes |
Investigation Summary
Employee #1, who was employed by a form work subcontractor, was working on a hospital renovation/addition. According to a witness, Employee #1 passed through a guardrail without wearing a safety belt. He then set a 4 by 4 at an upward angle to a column, climbed it, and began work. The 4 by 4 slipped or rolled, causing Employee #1 to fall approximately 30 feet from the fourth floor to the second floor. He later died from the injuries he sustained.
Keywords: CONCRETE FORM WORK, UNSECURED, WORK RULES, SAFETY BELT, SLIP, CONSTRUCTION, FALL, UNSTABLE POSITION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 108961426 | Fatality | Concussion | Occupation not reported |
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