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Inspection Detail
Inspection: 1855899 - Design Agri System, Inc.
Inspection Information - Office: Omaha Area Office
Site Address:
Design Agri System, Inc.
One Block West On Hwy. #6
Funk, NE 68940
Mailing Address:
Box 95, Humphrey, NE 68642
Union Status: NonUnion
SIC:1542
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 07/29/1987
Planning Guide: Safety-Construction
Emphasis:
Case Closed: 10/29/1987
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 360383095 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 3 | 4 | |||
| Current Violations | 1 | 3 | 4 | |||
| Initial Penalty | $350 | $0 | $0 | $0 | $0 | $350 |
| Current Penalty | $350 | $0 | $0 | $0 | $0 | $350 |
| 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 | 19260404 B01 I | 09/28/1987 | 10/01/1987 | $350 | $350 | $0 | - | ||
| 2. | 01001B | Serious | 19260021 B02 | 09/28/1987 | 10/01/1987 | $0 | $0 | $0 | - | ||
| 3. | 02001 | Other | 19030002 A01 | 09/28/1987 | 10/09/1987 | $0 | $0 | $0 | - | ||
| 4. | 02002 | Other | 19040007 | 09/28/1987 | 10/09/1987 | $0 | $0 | $0 | - | ||
| 5. | 02003 | Other | 19040008 | 09/28/1987 | 10/01/1987 | $0 | $0 | $0 | - |
Investigation Summary
Two employees were pouring a 79.2-meter by 4.9-meter by 203-millimeter (260-foot by 16-foot by 8-inch) concrete floor. One of them laid the aluminum screed board across the form and attached the motor to the top of the board. He then connected an extension cord set to a 120-volt receptacle outlet, which was wired to a 200-volt cable. He was electrocuted when he touched the aluminum screed board. Apparently, either the motor or the wiring had a ground fault.
Keywords: CONCRETE FORM WORK, ELECTRICAL, ELECTRIC CABLE, ELECTROCUTED, CONSTRUCTION, E C, GROUND FAULT, EQUIPMENT GROUNDING, ELEC EQUIPMENT--MISC
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1855899 | Fatality | Electric Shock | Occupation not reported |