Inspection Detail
Inspection: 1267989.015 - T&J Concrete Foundations, Inc.
Inspection Information - Office: Eau Claire Area Office
Site Address:
T&J Concrete Foundations, Inc.
W14985 Bear Lake Road
Chetek, WI 54728
Mailing Address:
25943 County Highway O, Cadott, WI 54727
Union Status: NonUnion
SIC:
NAICS: 238110/Poured Concrete Foundation and Structure Contractors
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/04/2017
Emphasis: L:Fall
Case Closed: 10/25/2017
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1263465 | Yes |
Investigation Summary
At 2:30 p.m. on September 13, 2017, Employee #1, employed by a concrete construction company, was engaged in forming work at the construction site for a one-story residential structure. He was spraying a form with form oil when the hose became wrapped around his foot. Employee #1 lost balance and, as he reached across the form rack to regain balance, his fingers became pinched/caught in the form rack. Employee #1 began to fall, a fall height of approximately 5 feet. As he fell, a rack hook caught his bicep and ripped it open to the forearm. Emergency services were called, and Employee #1 was transported to the hospital. He was admitted and treated for a laceration to his left arm with severed nerves in the bicep down to the forearm. During the subsequent investigation, it was determined that this injury occurred during Employee #1's third day working for the employer. This was Employee #1's first time performing this procedure.
Keywords: Arm, Caught In, Fall, Finger, Forearm, Hose, Laceration, Residential Construction, Severed, Untrained
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1267989.015 | 43 | M | Hospitalized injury | Concrete and terrazzo finishers |
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