Inspection Detail
Inspection: 301885216 - Southland Forming, Inc.
Inspection Information - Office: Fort Lauderdale Area Office
Site Address:
Southland Forming, Inc.
8930 Bay Colony Drive
Naples, FL 34108
Mailing Address:
3939 South Congress Ave. Suite 103, Lake Worth, FL 33461
Union Status: NonUnion
SIC:1771
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 05/21/1999
Emphasis: S:Construction Fatalities
Case Closed: 09/01/1999
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 100672203 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 1 | 3 | |||
| Current Violations | 2 | 1 | 3 | |||
| Initial Penalty | $14,000 | $0 | $0 | $1,000 | $0 | $15,000 |
| Current Penalty | $11,200 | $0 | $0 | $0 | $0 | $11,200 |
| 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 | 19260502 E01 | 06/30/1999 | 07/07/1999 | $5,600 | $7,000 | $0 | I - Informal Settlement | ||
| 2. | 01001B | Serious | 19260502 E02 | 06/30/1999 | 07/07/1999 | $0 | $0 | $0 | I - Informal Settlement | ||
| 3. | 01002 | Serious | 19260703 A01 | 06/30/1999 | 07/07/1999 | $5,600 | $7,000 | $0 | I - Informal Settlement | ||
| 4. | 02001 | Other | 19040002 A | 06/30/1999 | 07/13/1999 | $0 | $1,000 | $0 | I - Informal Settlement |
Investigation Summary
Employee #1, a carpenter and laborer, was placing pins at the top of a column form on the 12th floor level. The safety lanyard of his full body harness was looped around the steel rebar sticking up from the top of the form. The form and Employee #1 fell approximately 130 ft to the ground level deck. He was killed.
Keywords: CONCRETE FORM WORK, UNSECURED, WORK RULES, CONSTRUCTION, FALL, FALL PROTECTION, TIE-OFF
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 301885216 | Fatality | Bruise/Contus/Abras | Carpenters |
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