Inspection Detail

Inspection: 111139770 - Vita Foam Incorporated

Inspection Information - Office: Nc Department Of Labor - Raleigh

Inspection Nr: 111139770

Report ID: 0453710

Date Opened: 09/24/1992

Site Address:
Vita Foam Incorporated
2222 Surrett Drive
High Point, NC 27263

Mailing Address:
Po Box 2024, High Point, NC 27263

Union Status: NonUnion

SIC:3069

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/09/1992

Emphasis:

Case Closed: 03/23/1993

Related Activity
Type	Activity Nr	Safety	Health
Accident	360491088

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	4			2		6
Current Violations	4			2		6
Initial Penalty	$14,000	$0	$0	$0	$0	$14,000
Current Penalty	$14,000	$0	$0	$0	$0	$14,000
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Latest Event
1.	01001	Serious	95012901	01/15/1993	01/21/1993	$3,500	$3,500	$0	-
2.	01002A	Serious	19100029 A03 I	01/15/1993	01/21/1993	$3,500	$3,500	$0	-
3.	01002B	Serious	19100029 A04 II	01/15/1993	01/21/1993	$0	$0	$0	-
4.	01003	Serious	19100029 A03 VII	01/15/1993	01/21/1993	$3,500	$3,500	$0	-
5.	01004	Serious	19100179 B05	01/15/1993	01/21/1993	$3,500	$3,500	$0	-
6.	02001	Other	19100037 F06	01/15/1993	01/21/1993	$0	$0	$0	-
7.	02002	Other	19100037 K02	01/15/1993	01/21/1993	$0	$0	$0	-

Investigation Summary

Investigation Nr: 170120067

Event: 09/23/1992

Employee killed in fall with scaffold

Employee #1 was repairing an overhead crane. He set up a 20 ft 9 in. high, manually-propelled mobile scaffold between a stack of foam rubber buns and a conveyor. The overhead crane was equipped with a grabber to handle the buns, which were 28 in. by 72 in. by 552 in. and weighed between 1,000 and 2,000 lb each. The grabber was set on top of the uppermost bun in a stack of four. The crane was then moved slightly to one side by letting slack out of the hoist load line. The employee climbed onto the scaffold and started to work on the crane. Apparently, one of the lower buns shifted, causing the top three buns and the grabber to fall over into the scaffold. Employee #1 fell from the scaffold work platform as the scaffold fell over. He suffered neck and head injuries and died.

Keywords: PLATFORM, HEAD, FALL, NECK, SCAFFOLD

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	111139770			Fatality	Fracture	Not specified mechanics and repairers

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