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Inspection Detail
Inspection: 111103867 - Dee Shoring Company Inc.
Inspection Information - Office: Nc Department Of Labor - Winston-Salem
Site Address:
Dee Shoring Company Inc.
Medical Center Boulevard
Winston Salem, NC 27103
Mailing Address:
4680 Vawter Avenue, Richmond, VA 23222
Union Status: NonUnion
SIC:1771
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 08/25/1994
Planning Guide: Safety-Construction
Emphasis:
Case Closed: 09/14/1994
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 360493423 |
Investigation Summary
Employee #1 was disassembling metal wall form bracing. He was climbing a form and reached up to a 4 in. by 12 ft pipe brace, which was missing its fastening screw. The pipe fell toward him, and, thinking the 200 lb pipe was loose on both ends and would fall on him, Employee #1 jumped away. He fell 12 ft to a concrete floor, sustaining bruises and cuts, and stitches on his head and left elbow. He is expected to be back at work by his next shift.
Keywords: HEAD, DISMANTLING, UNSECURED, CONSTRUCTION, LACERATION, FALL, PIPE, ELBOW, CONTUSION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 111103867 | Non Hospitalized injury | Cut/Laceration | Construction laborers |