Inspection Detail

Inspection: 111103867 - Dee Shoring Company Inc.

Inspection Information - Office: Nc Department Of Labor - Winston-Salem

Inspection Nr: 111103867

Report ID: 0453720

Date Opened: 08/25/1994

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

Related Activity
Type	Activity Nr	Safety	Health
Accident	360493423

Investigation Summary

Investigation Nr: 170561112

Event: 08/25/1994

Employee injured in fall trying to avoid loose pipe

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

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	111103867			Non Hospitalized injury	Cut/Laceration	Construction laborers

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