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Inspection Detail
Inspection: 15183858 - Cottonwood Concrete Inc
Inspection Information - Office: Utah Division Of Occupational Safety And Health
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
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 360779748 |
| 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 |
| # | 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
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
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 15183858 | Hospitalized injury | Fracture | Construction trades, n.e.c. |