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Inspection Detail

Inspection: 15183858 - Cottonwood Concrete Inc

Inspection Information - Office: Utah Division Of Occupational Safety And Health

 

Inspection Nr: 15183858
Report ID: 0854910
Date Opened: 10/10/1984

Site Address:
Cottonwood Concrete Inc
Pacific Western 553 E 100 South
Salt Lake City, UT 84102

Mailing Address:
8212 Willow Creek Drive, Sandy, UT 84092

Union Status: NonUnion

SIC:1542

NAICS: 0 

Inspection Type: Accident

Scope: Complete

Advanced Notice: Y

Ownership: Private

Safety/Health: Safety

Close Conference: 10/10/1984

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 07/01/2016

Related Activity
Type Activity Nr Safety Health
Accident 360779748
Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 3 3
Current Violations 3 3
Initial Penalty $0 $0 $0 $0 $0 $0
Current Penalty $0 $0 $0 $0 $0 $0
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 Other CON005006 10/18/1984 11/01/1984 $0 $0 $0 -  
2. 01002 Other CON03500109 10/18/1984 11/01/1984 $0 $0 $0 -  
3. 01003 Other CON04511306 10/18/1984 11/01/1984 $0 $0 $0 -  

Investigation Summary

Investigation Nr: 14456560
Event: 10/07/1984
Employee injured in fall while removing wall forms

Employee #1 was stripping poured wall forms. To dismantle the vertical staff backs, he began to remove the attaching brackets, starting at the bottom. When only two backs remained, Employee #1 positioned himself by hooking his safety lanyard between them. As he removed the lower bracket, the 2 by 4 to which he was attached swung out, dropping him 14 ft 3 in. onto a metal deck.

Keywords: CONCRETE FORM WORK, WORK RULES, CONSTRUCTION, FALL, FALL PROTECTION, TIE-OFF

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 15183858 Hospitalized injury Fracture Construction trades, n.e.c.
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