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Inspection Detail
Inspection: 15272420 - Concrete Forming Associates Inc
Inspection Information - Office: Nc Department Of Labor - Raleigh
Site Address:
Concrete Forming Associates Inc
200 West Second St
Winston Salem, NC 27102
Mailing Address:
Po Box 11404, Charlotte, NC 28209
Union Status: NonUnion
SIC:1799
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 02/17/1986
Emphasis:
Case Closed: 06/17/1986
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 360768584 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $350 | $0 | $0 | $0 | $0 | $350 |
| Current Penalty | $350 | $0 | $0 | $0 | $0 | $350 |
| 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 | Serious | 19260451 A07 | 05/06/1986 | 05/09/1986 | $350 | $350 | $0 | - |
Investigation Summary
Employees #1 and #2 were installing hollow pan metal stairs at the basement and first floor levels of a building. A vertical concrete form collapsed on the tenth floor of the same stairwell. Debris, concrete, and timber fell onto the stairs, striking Employees #1 and #2. Employee #1 sustained head injuries and Employee #2 sustained a puncture wound to his right side. Both were hospitalized. A worker with another company also fell with the debris, but he did not strike either of the employees.
Keywords: CONCRETE FORM WORK, INSTALLING, COLLAPSE, CONSTRUCTION, STRUCK BY, FALLING OBJECT
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 15272420 | Occupation Not Listed |