Inspection Detail

Case Status: CLOSED

Inspection: 1351058.015 - Archer Western - De Moya Jv Ii, Llc

Inspection Information - Office: Tampa Area Office

Inspection Nr: 1351058.015

Report ID: 0420600

Date Opened: 10/02/2018

Site Address:
Archer Western - De Moya Jv Ii, Llc
4550 Ulmerton Raod
Clearwater, FL 33762

Mailing Address:
4550 Ulmerton Raod, Clearwater, FL 33762

Union Status: NonUnion

SIC:

NAICS: 237310/ Highway, Street, and Bridge Construction

Inspection Type: Unprog Rel

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/02/2018

Emphasis:

Case Closed: 01/30/2019

Related Activity
Type	Activity Nr	Safety	Health
Inspection	1351038	Yes

Case Status: CLOSED

Investigation Summary

Investigation Nr: 109747.015

Event: 09/26/2018

Employee fractures hip when pipe slams into employee who is

At 5:00 p.m. on September 26, 2018, an employee was removing and installing well points in an excavation. While working, a forty-two inch iron pipe ricocheted and caught the employee between the pipe and a Stinger. The employee sustained multiple hip fractures.

Keywords: Caught Between, Excavation, Fracture, Hip, Pipe, Struck By

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1351058.015	25	M	Hospitalized injury		Construction trades, n.e.c.

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