Inspection Detail

Case Status: CLOSED

Inspection: 1138183.015 - Gill Con Inc.

Inspection Information - Office: State Of New Mexico Environment Department Occupational Health & Safety Bureau

Inspection Nr: 1138183.015

Report ID: 0653510

Date Opened: 04/04/2016

Site Address:
Gill Con Inc.
Hwy 491 North, Milepost 36.5
Tohatchi, NM 87325

Mailing Address:
P.O. Box 15293, Rio Rancho, NM 87124

Union Status: NonUnion

SIC:

NAICS: 238120/Structural Steel and Precast Concrete Contractors

Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: Y

Ownership: Private

Safety/Health: Safety

Close Conference: 04/05/2016

Emphasis: S:Allcnstr

Case Closed: 11/14/2016

Related Activity
Type	Activity Nr	Safety
Accident	1078472
Inspection	1139372	Yes
Inspection	1138224	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	3					3
Current Violations	3					3
Initial Penalty	$1,850	$0	$0	$0	$0	$1,850
Current Penalty	$1,850	$0	$0	$0	$0	$1,850
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	19260095 D01	10/04/2016	10/17/2016	$225	$225	$0	Z - Issued
2.	01002	Serious	19260501 B01	10/04/2016	10/17/2016	$1,500	$1,500	$0	Z - Issued
3.	01003	Serious	19260701 B	10/04/2016	10/17/2016	$125	$125	$0	Z - Issued

Investigation Summary

Investigation Nr: 84254.015

Event: 04/04/2016

Employee falls from wooden concrete form and is killed

At 7:00 a.m. on April 4, 2016, an employee was preparing to install rebar on top of a wooden concrete mold. The employee fell off a 12-ft tall wooden concrete form and is killed from head trauma

Keywords: Concrete, Concrete Form Work, Elevated Work Platform, Fall, Head, Laceration

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1138183.015	36	M	Fatality		Strctural Iron /& Steel Worker

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