Inspection Detail

Inspection: 18477927 - Blythe Industries, Inc.

Inspection Information - Office: Nc Department Of Labor - Raleigh

Inspection Nr: 18477927

Report ID: 0453710

Date Opened: 05/01/1992

Site Address:
Blythe Industries, Inc.
3402 Harris Rd.
Burlington, NC 27215

Mailing Address:
P. O. Box 1241, Burlington, NC 27215

Union Status: NonUnion

SIC:1629

NAICS: 0

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 05/08/1992

Emphasis:

Case Closed: 07/22/1992

Related Activity
Type	Activity Nr	Safety	Health
Accident	360490494

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations	1					1
Initial Penalty	$4,200	$0	$0	$0	$0	$4,200
Current Penalty	$4,200	$0	$0	$0	$0	$4,200
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	Contest	Latest Event	Note
1.	01001	Serious	95012901	06/25/1992	07/01/1992	$4,200	$4,200	$0		-

Investigation Summary

Investigation Nr: 170063580

Event: 04/29/1992

Employee hospitalized after falling 60 ft in dam

Employee #1, a carpenter, was installing concrete formwork and scaffolding on the Mackintosh Dam near Blythe Industries Management. He was 560 ft high on a scaffold helping to locate and install the steel rods used to hold the wooden forms and scaffolding in place. When the concrete pour was almost complete, Employee #1 adjusted the forms in or out to align with a string line using a nut and bearing plate on the threaded rods. As he worked, a form in the middle of the pour moved, causing concrete, formwork, and scaffolding to fall. Employee #1 fell approximately 60 feet to the base of the dam. He was removed from the wet concrete and taken to the hospital by crew personnel.

Keywords: CONCRETE FORM WORK, DAM, CONSTRUCTION, FALL PROTECTION, SCAFFOLD

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	18477927			Hospitalized injury	Fracture	Carpenters

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