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Inspection Detail
Inspection: 1319934.015 - Pastore Concrete Forms, Inc.
Inspection Information - Office: Boston South Area Office
Site Address:
Pastore Concrete Forms, Inc.
264a North Main Street
Cohasset, MA 02025
Mailing Address:
6 Main Street Extension Po Box 3847, Plymouth, MA 02360
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: 06/01/2018
Emphasis: N:Trench, L:Fall
Case Closed: 01/02/2020
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1347633 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 1 | 4 | |||
| Current Violations | 3 | 1 | 4 | |||
| Initial Penalty | $15,522 | $0 | $0 | $739 | $0 | $16,261 |
| Current Penalty | $15,522 | $0 | $0 | $739 | $0 | $16,261 |
| 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 | 19260100 A | 08/23/2018 | 08/31/2018 | $5,174 | $5,174 | $0 | Z - Issued | ||
| 2. | 01002 | Serious | 19260501 B06 | 08/23/2018 | 08/31/2018 | $5,174 | $5,174 | $0 | Z - Issued | ||
| 3. | 01003 | Serious | 19260503 A02 | 08/23/2018 | 08/31/2018 | $5,174 | $5,174 | $0 | Z - Issued | ||
| 4. | 02001 | Other | 19040032 A02 | 08/23/2018 | 10/15/2018 | $739 | $739 | $0 | Z - Issued |
Investigation Summary
At 2:45 p.m. on May 31, 2018, Employee #1, employed by a construction company, was working at the site of a new residential structure. As he was walking across a wooden plank, he fell into an excavation, a fall height of 8.5 feet. Employee #1 struck his head on a rock and pieces of concrete forming material. He was transported to the hospital, admitted, and treated for head injuries and lacerations.
Keywords: Catwalk, Excavation, Fall, Fall Protection, Head, Laceration, Plank, Residential Construction, Rock, Struck Against, Walking On Plank
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1319934.015 | 61 | M | Hospitalized injury | Concrete and terrazzo finishers |