Inspection Detail

Inspection: 122018161 - P.M. Concrete, Inc.

Inspection Information - Office: Appleton Area Office

Inspection Nr: 122018161

Report ID: 0521100

Date Opened: 09/21/2007

Site Address:
P.M. Concrete, Inc.
1623 Rangeline Lake Lane
Wabeno, WI 54566

Mailing Address:
4224 Oconto Drive, Wabeno, WI 54566

Union Status: NonUnion

SIC:1771

NAICS: 238110/Poured Concrete Foundation and Structure Contractors

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/21/2007

Emphasis: L:Piv, S:Powered Ind Vehicle

Case Closed: 03/05/2008

Related Activity
Type	Activity Nr	Safety	Health
Referral	200651776	Yes

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations	1					1
Initial Penalty	$1,500	$0	$0	$0	$0	$1,500
Current Penalty	$1,500	$0	$0	$0	$0	$1,500
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	Serious	5A0001	10/12/2007	10/16/2007	$1,500	$1,500	$0		-

Investigation Summary

Investigation Nr: 200651362

Event: 09/05/2007

Employee injured when pinned by forks of lift truck

At approximately 9:00 a.m. on September 5, 2007, Employee #1 was using a four-point lifting strap attached to a Thomas 233 skidsteer lift truck to raise a trowel onto a trailer. The straps had to be kept tight to keep the hooks in place, so Employee #1, who was standing between the skidsteer and the trowel, was holding them tightly as he reached into the cab of the lift truck to position the forks. He mistakenly pulled on the DOWN lever, lowering the forks and pinning himself against the vehicle. Employee #1 suffered a fractured leg and pelvis, for which he was hospitalized.

Keywords: LOADING, FRACTURE, PINNED, CONSTRUCTION, HOIST, CAUGHT BETWEEN, INDUSTRIAL TRUCK, PELVIS, MECH MAT HANDLING, LEG

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	122018161			Hospitalized injury	Fracture	Occupation not reported

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