Inspection Detail

Inspection: 1855899 - Design Agri System, Inc.

Inspection Information - Office: Omaha Area Office

Inspection Nr: 1855899

Report ID: 0728900

Date Opened: 07/28/1987

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

Related Activity
Type	Activity Nr	Safety	Health
Accident	360383095

Violation Summary
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

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Latest Event
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

Investigation Nr: 14414510

Event: 07/24/1987

ELECTRIC SHOCK - CAUSE UNKNOWN

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

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1855899			Fatality	Electric Shock	Occupation not reported

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