Inspection Detail

Case Status: CLOSED

Inspection: 1579556.015 - 151227 - Five Star Contractors Of Nc Llc

Inspection Information - Office: Nc Department Of Labor - Raleigh

Inspection Nr: 1579556.015

Report ID: 0453710

Date Opened: 02/21/2022

Site Address:
151227 - Five Star Contractors Of Nc Llc
1825 South Drive
Jacksonville, NC 28540

Mailing Address:
93 Mountain Top Drive #104, Garner, NC 27529

Union Status: NonUnion

SIC:1541

NAICS: 236210/Industrial Building Construction

Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 02/22/2022

Emphasis:

Case Closed: 02/19/2024

Related Activity
Type	Activity Nr	Safety	Health
Accident	1868204

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	6					6
Current Violations	6					6
Initial Penalty	$12,000	$0	$0	$0	$0	$12,000
Current Penalty	$9,600	$0	$0	$0	$0	$9,600
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	19260451 C02	08/19/2022	08/29/2022	$1,680	$2,100	$0	I - Informal Settlement
2.	01002	Serious	19260451 G01 VII	08/19/2022	08/29/2022	$1,680	$2,100	$0	I - Informal Settlement
3.	01003	Serious	19260452 C02	08/19/2022	08/29/2022	$1,200	$1,500	$0	I - Informal Settlement
4.	01004	Serious	19260454 A	08/19/2022	09/15/2022	$1,680	$2,100	$0	I - Informal Settlement
5.	01005	Serious	19260454 B	08/19/2022	08/29/2022	$1,680	$2,100	$0	I - Informal Settlement
6.	01006	Serious	19260451 F03	08/19/2022	08/29/2022	$1,680	$2,100	$0	I - Informal Settlement

Investigation Summary

Investigation Nr: 143953.015

Event: 02/21/2022

Employee is killed in fall from scaffold

At 3:22 p.m. on February 21, 2022, an employee performed masonry work from the top level of frame walk through scaffold. As the employee walked to the end of the scaffold, the wooden board catapulted and caused the employee to fall approximately fourteen feet. The employee was killed.

Keywords: Board, Fall, Fall From Elevation, Masonry, Scaffold, Walk-Thru-Frame Scaf

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1579556.015	56	M	Fatality		Occupation not reported

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