Inspection Detail
Inspection: 1476481.015 - R.C. Mathews Contractor, Llc
Inspection Information - Office: Tennessee Osha Nashville Office - Safety
Site Address:
R.C. Mathews Contractor, Llc
2020 Belmont Blvd.
Nashville, TN 37212
Mailing Address:
P.O. Box 24686, Nashville, TN 37202
Union Status: NonUnion
SIC:
NAICS: 236220/Commercial and Institutional Building Construction
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 05/27/2020
Emphasis: S:Fall
Case Closed: 03/22/2022
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1596807 | Yes | |
| Inspection | 1476511 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | ||||||
| Initial Penalty | $1,200 | $0 | $0 | $0 | $0 | $1,200 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citation Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Serious | 19260501 B01 | 07/08/2020 | 07/23/2020 | $0 | $1,200 | $0 | 07/29/2020 | R - Review Commission | Citation has been deleted. |
Investigation Summary
At 1:21 p.m. on May 20, 2020, Employee #1 was working for a general contractor. Employee #1 was wrecking forms on a concrete wall. Employee #1 fell from wooden concrete form and suffered a head laceration and skull fracture. Employee #1 was hospitalized for treatment.
Keywords: Concrete, Concrete Form Work, Elevated, Elevated Work Plat, Elevated Work Platform, Fall, Fall From Elevation, Fracture, Head, Laceration, Skull
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1476481.015 | 52 | M | Hospitalized injury | Carpenter |
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