Inspection Detail

Case Status: CLOSED

Inspection: 1529848.015 - 149133 - Jns Construction, Inc.

Inspection Information - Office: Nc Department Of Labor - Raleigh

Inspection Nr: 1529848.015

Report ID: 0453710

Date Opened: 05/10/2021

Site Address:
149133 - Jns Construction, Inc.
107 Lynn Drive
La Grange, NC 28551

Mailing Address:
1979 Dobbersville Road, Mount Olive, NC 28365

Union Status: NonUnion

SIC:1522

NAICS: 236118/Residential Remodelers

Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 05/10/2021

Emphasis:

Case Closed: 12/16/2021

Related Activity
Type	Activity Nr	Safety	Health
Accident	1766163

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			3		4
Current Violations	1			3		4
Initial Penalty	$1,200	$0	$0	$450	$0	$1,650
Current Penalty	$1,200	$0	$0	$450	$0	$1,650
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	Latest Event
1.	01001	Serious	19260501 B10	10/05/2021	10/29/2021	$1,200	$1,200	$0	Z - Issued
2.	02001A	Other	19260451 B02	10/05/2021	10/29/2021	$0	$0	$0	Z - Issued
3.	02001B	Other	19260451 F07	10/05/2021	10/13/2021	$0	$0	$0	Z - Issued
4.	02002	Other	19260454 B	10/05/2021	10/29/2021	$450	$450	$0	Z - Issued
5.	02003	Other	19260503 B01	10/05/2021	10/29/2021	$0	$0	$0	Z - Issued

Investigation Summary

Investigation Nr: 135844.015

Event: 05/10/2021

Employee falls from scaffold and is killed

At 10:47 a.m. on May 10, 2021, an employee worked from a scaffold and was handed a bundle of shingles by a coworker to pass on to a coworker on the roof. While attempting to pass the bundle, the scaffold broke or collapsed and the employee fell approximately five feet and died in the ambulance.

Keywords: Collapse, Fall, Fall Protection, Scaffold, Scaffold Collapse

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1529848.015	38	M	Fatality		Occupation not reported

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