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Inspection Detail
Inspection: 127127363 - Adams Bldg Co
Inspection Information - Office: Miosha Construction Safety & Health Division
Inspection Nr: 127127363
Report ID: 0552651
Date Opened: 04/24/2002
Site Address:
Adams Bldg Co
5600 Orion Rd
Rochester Hills, MI 48306
Mailing Address:
2352 Executive Dr, Westland, MI 48185
Union Status: NonUnion
SIC:1771
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 06/07/2002
Planning Guide: Safety-Construction
Emphasis: S:Construction
Case Closed: 04/14/2003
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 2 | 3 | |||
| Current Violations | ||||||
| Initial Penalty | $350 | $0 | $0 | $100 | $0 | $450 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Serious | 4084252101 | 07/03/2002 | 07/09/2002 | $350 | $350 | $0 | A - Amendment | Citation has been deleted. | |
| 2. | 02001 | Other | 4084011401 | 07/03/2002 | 07/09/2002 | $0 | $0 | $0 | A - Amendment | Citation has been deleted. | |
| 3. | 03001 | Other | 4082234901 | 01/29/2003 | 02/03/2003 | $100 | $100 | $0 | A - Amendment | Citation has been deleted. |
Investigation Summary
Investigation Nr: 201405966
Event: 04/10/2002
Employees injured in fall when formwork fails
On April 10, 2002, Employees #1 through #3 were pouring a concrete floor in place. The formwork failed, causing all three to fall 10 ft and sustain sprains and contusions.
Keywords: CONCRETE FORM WORK, FALL, SPRAIN, CONTUSION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 127127363 | Non Hospitalized injury | Strain/Sprain | Construction laborers | ||
| 2 | 127127363 | Non Hospitalized injury | Bruise/Contus/Abras | Construction laborers | ||
| 3 | 127127363 | Non Hospitalized injury | Bruise/Contus/Abras | Construction laborers |