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Inspection Detail
Inspection: 18345488 - Duffee-Forms, Inc.
Inspection Information - Office: Atlanta East Area Office
Inspection Nr: 18345488
Report ID: 0418100
Date Opened: 01/04/1990
Site Address:
Duffee-Forms, Inc.
9750 Spruill Road
Alpharetta, GA 30201
Mailing Address:
2627 N. Emerson Ave., Indianapolis, IN 46218
Union Status: NonUnion
SIC:1771
NAICS: 0
Inspection Type: Unprog Rel
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 01/12/1990
Planning Guide: Safety-Construction
Emphasis:
Case Closed: 09/27/1991
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 5 | 5 | ||||
| Current Violations | 5 | 5 | ||||
| Initial Penalty | $1,680 | $0 | $0 | $0 | $0 | $1,680 |
| Current Penalty | $1,680 | $0 | $0 | $0 | $0 | $1,680 |
| 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 | 19260021 B02 | 01/23/1990 | 01/26/1990 | $420 | $420 | $0 | 03/21/1990 | - | |
| 2. | 01002 | Serious | 19260404 B01 II | 01/23/1990 | 02/12/1990 | $280 | $280 | $0 | 03/21/1990 | - | |
| 3. | 01003 | Serious | 19260405 A02 IIJ | 01/23/1990 | 01/26/1990 | $210 | $210 | $0 | 03/21/1990 | - | |
| 4. | 01004A | Serious | 19260500 D01 | 01/23/1990 | 01/26/1990 | $350 | $350 | $0 | 03/21/1990 | - | |
| 5. | 01004B | Serious | 19260500 D02 | 01/23/1990 | 01/26/1990 | $0 | $0 | $0 | 03/21/1990 | - | |
| 6. | 01005 | Serious | 19260550 A04 | 01/23/1990 | 01/26/1990 | $420 | $420 | $0 | 03/21/1990 | - |
Investigation Summary
Investigation Nr: 14336903
Event: 01/04/1990
EMPLOYEE INJURED BY MOVING FORM
Employee #1 was sitting on a gang form that was leaning against a cement wall. The form slipped and Employee #1 struck his face on the cross bracing of the form as the form hit the floor. Employee #1 sustained lacerations and several teeth were knocked out.
Keywords: WALL, STRUCK AGAINST, LACERATION, FACE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 18345488 | Hospitalized injury | Bruise/Contus/Abras | Occupation not reported |