Inspection Detail

Inspection: 111146262 - Mesco Forming, Inc.

Inspection Information - Office: Nc Department Of Labor - Raleigh

Inspection Nr: 111146262

Report ID: 0453710

Date Opened: 07/01/1993

Site Address:
Mesco Forming, Inc.
1921 W. Lee St.
Greensboro, NC 27107

Mailing Address:
2330 Cragmore Rd., Winston-Salem, NC 27107

Union Status: NonUnion

SIC:1799

NAICS: 0

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 07/02/1993

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 11/22/1996

Related Activity
Type	Activity Nr	Safety	Health
Accident	360491872

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations	1			1		2
Initial Penalty	$875	$0	$0	$0	$0	$875
Current Penalty	$875	$0	$0	$0	$0	$875
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	Contest	Latest Event	Note
1.	01001	Other	19260021 B02	10/04/1993	10/14/1993	$0	$0	$0	07/08/1994	Y - State Decision
2.	01002	Serious	19260028 A	10/04/1993	10/11/1993	$875	$875	$0	07/08/1994	Y - State Decision

Investigation Summary

Investigation Nr: 170561435

Event: 06/30/1993

Employee injured in fall to concrete floor from ledge

Employee #1 was a temporary employee who had been assigned to work with a concrete forming company. He was working near the edge of a ledge 25 ft above a concrete floor, using a metal crowbar to pry loose a piece of wooden forming from cured concrete when the wooden form suddenly broke loose, causing him to lose his balance and to fall 25 ft to the concrete floor below. He was not wearing personal protective equipment at the time. He was admitted to the hospital with a broken leg and a broken arm.

Keywords: PPE, WORK RULES, LOST BALANCE, LEG, FRACTURE, CONSTRUCTION, FALL, FALL PROTECTION, ARM, PRY BAR

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	111146262			Hospitalized injury	Fracture	Concrete and terrazzo finishers

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