Inspection Detail

Inspection: 14905624 - Johnson Brothers Corporation

Inspection Information - Office: Minnesota Department Of Labor And Industry

Inspection Nr: 14905624

Report ID: 0552700

Date Opened: 05/30/1985

Site Address:
Johnson Brothers Corporation
I-35 Interchange At Lake Avenue
Duluth, MN 55802

Mailing Address:
Box 1002, Litchfield, MN 00000

Union Status: Union

SIC:1622

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 05/30/1985

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 07/09/1985

Related Activity
Type	Activity Nr	Safety	Health
Accident	360589618

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations	1					1
Initial Penalty	$348	$0	$0	$0	$0	$348
Current Penalty	$348	$0	$0	$0	$0	$348
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	19260700 A	06/14/1985	06/17/1985	$348	$348	$0		-

Investigation Summary

Investigation Nr: 689166

Event: 05/28/1985

STRUCK BY FALLING STEEL FORM

EMPLOYEE #1 WAS WORKING FROM THE TOP OF A 19 FOOT HIGH FREE-STANDING FORM, ATTEMPTING TO INSTALL WOOD BLOCKOUTS TO GIVE FINAL FORM TO PIER 11H UNDER CONSTRUCTION. THE FORM CONSISTED OF 2 PARALLEL 9 BY 19 FOOT STEEL PANELS PANELS HELD APART BY STEEL ANGLE SECTIONS. THE FORM TOPPLED OVER TOWARDS THE SIDE EMPLOYEE #1 WAS HANGING TO AND HE WAS UNABLE TO JUMP CLEAR BEFORE THE FORM STRUCK THE GROUND. HIS RIGHT LOWER LEG WAS CAUGHT BETWEEN THE FORM EDGE AND THE GROUND BREAKING A LEG BONE AND DAMAGING THE LEG'S CIRCULATION (BLOOD). CONTRIBUTING FACTORS TO THE ACCIDENT WAS NO BRACING USED TO STABILIZE FORM, ANGLE SEPARATORS HOLDING THE FORM PANELS APART WERE PROBABLY LOOSE. FORM STANDING ON BLOCKS OUT OF PLUMB, AND THE IMPOSED WIND LOAD ON THE PANEL SURFACE.

Keywords: CONCRETE FORM WORK, HIGH WIND, PIER, FALL

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	14905624			Hospitalized injury	Fracture	Cabinet makers and bench carpenters

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