Inspection Detail

Case Status: CLOSED

Inspection: 1319934.015 - Pastore Concrete Forms, Inc.

Inspection Information - Office: Boston South Area Office

Inspection Nr: 1319934.015

Report ID: 0111400

Date Opened: 06/01/2018

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

Related Activity
Type	Activity Nr	Safety	Health
Referral	1347633	Yes

Case Status: CLOSED

Violation Summary
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

Violation Items
#	Citation ID	Citation Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Latest Event
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

Investigation Nr: 106422.015

Event: 05/31/2018

Employee is injured in fall from plank into excavation

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

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1319934.015	61	M	Hospitalized injury		Concrete and terrazzo finishers

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