Inspection Detail

Case Status: CLOSED

Inspection: 1316677.015 - Shook Construction Co.

Inspection Information - Office: Columbus Area Office

Inspection Nr: 1316677.015

Report ID: 0522500

Date Opened: 05/17/2018

Site Address:
Shook Construction Co.
6977 S. High St
Lockbourne, OH 43137

Mailing Address:
4977 Northcutt Place, Dayton, OH 45414

Union Status: Union

SIC:

NAICS: 236210/Industrial Building Construction

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 05/17/2018

Emphasis: P:Fall, L:Fall

Case Closed: 03/03/2020

Related Activity
Type	Activity Nr	Safety	Health
Referral	1336573	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations
Initial Penalty	$12,934	$0	$0	$0	$0	$12,934
Current Penalty	$0	$0	$0	$0	$0	$0
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	19260502 A02	10/16/2018	10/26/2018	$0	$12,934	$0	11/27/2018	J - ALJ Decision	Citation has been deleted.

Investigation Summary

Investigation Nr: 105647.015

Event: 05/09/2018

Employee falls from concrete form, incurs multiple fractures

At 4:30 p.m. on May 9, 2018, Employee #1 and a coworker, employed by a construction company, were engaged in concrete form work for a sewer/water treatment plant. They were working from a scaffold platform attached to a form wall and setting and pinning concrete form panels. Needing to place a pin at the top of the form wall, Employee #1 climbed around a corner of the wall and up to the top. After setting the pin, as he attempted to return to the scaffold platform, Employee #1 fell backwards, a fall height of 24 feet. Emergency services were called, and Employee #1 was transported to the hospital. He was admitted and treated for injuries that included a fractured pelvis, multiple fractured ribs, and a fractured vertebra.

Keywords: Concrete Form Work, Construction, Fall, Fall Protection, Fracture, Pelvis, Rib, Scaffold, Vertebra, Wall

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1316677.015	38	M	Hospitalized injury		Carpenter apprentices

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