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Inspection Detail
Inspection: 1609129.015 - Crete'S Here Llc
Inspection Information - Office: Madison Area Office
Site Address:
Crete'S Here Llc
126 Violet Street
Palmyra, WI 53156
Mailing Address:
73 Shirley Street, Fort Atkinson, WI 53538
Union Status: NonUnion
SIC:
NAICS: 238110/Poured Concrete Foundation and Structure Contractors
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 07/20/2022
Emphasis: P:Fall, N:Trench, L:Fall
Case Closed: 08/28/2023
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1921777 | ||
| Inspection | 1610149 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $20,720 | $0 | $0 | $0 | $0 | $20,720 |
| Current Penalty | $16,576 | $0 | $0 | $0 | $0 | $16,576 |
| 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. | 01001A | Serious | 19260451 B01 | 09/30/2022 | 10/17/2022 | $8,806 | $10,360 | $0 | I - Informal Settlement | ||
| 2. | 01001B | Serious | 19260451 B02 | 09/30/2022 | 10/17/2022 | $0 | $0 | $0 | I - Informal Settlement | Citation has been deleted. | |
| 3. | 01002 | Serious | 19260451 E01 | 09/30/2022 | 10/17/2022 | $7,770 | $10,360 | $0 | I - Informal Settlement |
Investigation Summary
At 11:45 a.m. on July 20, 2022, an employee was working from a metal bracket form scaffold platform setting up walers. The employee and coworkers were working from a platform supported by a metal bracket form scaffold system, while installing wall forms in preparation for concrete. The employees were installing and setting walers and other components of the wall forms while working from the scaffold platform. The platform was over 6 feet high above the ground. The platform consisted of two 2-inch by 7-inch wooden boards, side by side, and metal bracket form scaffolding. Metal stakes, about 24 inches in length, were installed in the ground to hold the turnbuckles for the wall forms. The metal stakes extended out of the ground about 14 inches. The employee fell from the scaffold platform to the ground below and was impaled by a steel stake upon landing, which resulted in a fatality. The work platform was not fully planked or decked and the platform was less than 18 inches. Protection from impalement hazards regarding the metal stakes used to secure the turnbuckles of the wall forms was not implemented. These factors may have contributed to the accident.
Keywords: Concrete, Decking, Fall, Fall From Elevation, Impaled, Installing, Planking, Scaffold, Stakes
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1609129.015 | 64 | M | Fatality | Construction laborers |