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Inspection Detail
Inspection: 110370673 - Texas Slip Forms, Inc.
Inspection Information - Office: Fort Worth Area Office
Site Address:
Texas Slip Forms, Inc.
4301 Insurance Lane
Fort Worth, TX 76126
Mailing Address:
5830 Laguna Road, San Antonio, TX 78225
Union Status: NonUnion
SIC:1611
NAICS: 0
Inspection Type: Unprog Rel
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 03/25/1993
Planning Guide: Safety-Construction
Emphasis:
Case Closed: 10/05/1993
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 360912380 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $375 | $0 | $0 | $0 | $0 | $375 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| 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 | 19260350 A09 | 05/12/1993 | 05/17/1993 | $0 | $375 | $0 | 06/14/1993 | J - ALJ Decision |
Investigation Summary
At approximately 11:10 on March 23, 1993, Employee #1 was walking back to his work area to prepare for an incoming load of concrete. At the same time, a Mack Value Liner R 10 yard dump truck, model RS 600L, serial #RS686LS48391, arrived at the site hauling approximately 7 yards of concrete. A flagman directed the dump truck driver to back past him onto the ramp from the highway entrance. The truck driver proceeded to back in past the flagman, headed for the rebar area approximately 475 ft away. Employee #1 was walking back toward the rebar area in the path of the truck. He was killed when the truck struck and ran over him.
Keywords: COLLISION, BACKING UP, DUMP TRUCK, STRUCK BY, WORK RULES, INATTENTION, CHEST, CONSTRUCTION, RUN OVER
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 110370673 | Occupation Not Listed |