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Inspection Detail
Inspection: 304939457 - Tri State Concrete Services Inc
Inspection Information - Office: Miosha Construction Safety & Health Division
Site Address:
Tri State Concrete Services Inc
1797 Dean Rd
Temperance, MI 48182
Mailing Address:
14293 State Hwy 64, Metamora, OH 43540
Union Status: NonUnion
SIC:1771
NAICS: 238110/Poured Concrete Foundation and Structure Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 02/11/2005
Planning Guide: Safety-Construction
Emphasis: S:Construction Fatalities
Case Closed: 04/08/2005
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101402923 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 5 | 5 | ||||
| Current Violations | 5 | 5 | ||||
| Initial Penalty | $3,200 | $0 | $0 | $0 | $0 | $3,200 |
| Current Penalty | $2,240 | $0 | $0 | $0 | $0 | $2,240 |
| 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 | 4084011402 | 03/04/2005 | 03/09/2005 | $280 | $400 | $0 | I - Informal Settlement | ||
| 2. | 01002 | Serious | 4084111301 | 03/04/2005 | 03/09/2005 | $490 | $700 | $0 | I - Informal Settlement | ||
| 3. | 01003 | Serious | 4084013201 | 03/04/2005 | 03/09/2005 | $490 | $700 | $0 | I - Informal Settlement | ||
| 4. | 01004 | Serious | 408417190136 | 03/04/2005 | 03/09/2005 | $490 | $700 | $0 | I - Informal Settlement | ||
| 5. | 01005 | Serious | 4084172511 | 03/04/2005 | 03/09/2005 | $490 | $700 | $0 | I - Informal Settlement |
Investigation Summary
On January 14, 2005, Employee #1 was stripping concrete forms in the open basement of a single-family home. He was later found, face down, in a small amount of water in the basement. There was a defective electrical cord lying in the water. Employee #1 had been electrocuted.
Keywords: CONCRETE FORM WORK, ELECTRICAL, ELECTROCUTED, CONSTRUCTION, ELECTRICAL WORK, ELEC CIRC PART--MISC, ELECTRIC CORD, WATER
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 304939457 | Fatality | Electric Shock | Construction laborers |