Inspection Detail

Case Status: CLOSED

Inspection: 1289950.015 - A&M Concrete & Construction, Inc.

Inspection Information - Office: Appleton Area Office

Inspection Nr: 1289950.015

Report ID: 0521100

Date Opened: 01/25/2018

Site Address:
A&M Concrete & Construction, Inc.
W249 Deer Dr.
Pulaski, WI 54162

Mailing Address:
N171 Lawn Rd., Seymour, WI 54165

Union Status: NonUnion

SIC:

NAICS: 238130/Framing Contractors

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 04/12/2018

Emphasis: L:Piv

Case Closed: 06/04/2018

Related Activity
Type	Activity Nr	Safety	Health
Referral	1303082	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations	2					2
Initial Penalty	$6,652	$0	$0	$0	$0	$6,652
Current Penalty	$5,544	$0	$0	$0	$0	$5,544
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	19260021 B02	04/13/2018	06/04/2018	$2,772	$2,772	$0		I - Informal Settlement
2.	01002	Serious	19260050 B	04/13/2018	05/11/2018	$2,772	$3,880	$0		I - Informal Settlement

Investigation Summary

Investigation Nr: 102500.015

Event: 01/22/2018

Employee is buried under falling load and legs are broken

At 8:30 a.m. on January 22, 2018, Employee #1 and Coworkers #1 and #2, employed by a construction company, were handling materials delivered to a multiemployer construction site. Coworker #1, the driver of a 1998 Ford 9000 delivery truck, was on the truck's trailer with materials loaded onto skids (load platforms). Employee #1 and Coworker #2, the foreman, were receiving and attempting to offload the materials from the truck. They were using a SkyTrak Model 6036, Style Number 25699 Telehandler with boom and forks to lift the skids off the trailer. As Coworker #2 lifted a skid with the telehandler, the skid fell off the forks and buried Employee #1, who was on the opposite side of the trailer. Coworker #2 extracted Employee #1 from under the pile and transported him to the hospital. Employee #1 was admitted and treated for fractures to both legs.

Keywords: Aerial Lift, Buried, Construction, Construction vehicle, Delivery Work, Falling Object, Fracture, Leg, Material Handling, Platform

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1289950.015	32	M	Hospitalized injury		Carpenters

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