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Inspection Detail
Inspection: 306738105 - Formica Construction Inc
Inspection Information - Office: Avenel
Site Address:
Formica Construction Inc
15-55 Paris Court
Staten Island, NY 10310
Mailing Address:
11 Ferry Street, Staten Island, NY 10302
Union Status: NonUnion
SIC:1794
NAICS: 238910/Site Preparation Contractors
Inspection Type: Referral
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 12/24/2003
Planning Guide: Safety-Construction
Emphasis:
Case Closed: 07/15/2004
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101310928 | ||
| Referral | 201317963 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 12 | 1 | 13 | |||
| Current Violations | 10 | 1 | 2 | 13 | ||
| Initial Penalty | $10,500 | $14,000 | $0 | $0 | $0 | $24,500 |
| Current Penalty | $4,875 | $9,100 | $0 | $0 | $0 | $13,975 |
| 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 | 19260020 B01 | 06/10/2004 | 07/01/2004 | $683 | $1,050 | $0 | I - Informal Settlement | ||
| 2. | 01002 | Serious | 19260021 B02 | 06/10/2004 | 06/15/2004 | $683 | $1,050 | $0 | I - Informal Settlement | ||
| 3. | 01003 | Serious | 19260102 A01 | 06/10/2004 | 07/01/2004 | $488 | $750 | $0 | I - Informal Settlement | ||
| 4. | 01004 | Serious | 19260153 J | 06/10/2004 | 06/15/2004 | $293 | $450 | $0 | I - Informal Settlement | ||
| 5. | 01005 | Other | 19260404 B01 II | 06/10/2004 | 07/01/2004 | $0 | $1,500 | $0 | I - Informal Settlement | ||
| 6. | 01006 | Serious | 19260651 E | 06/10/2004 | 06/15/2004 | $390 | $600 | $0 | I - Informal Settlement | ||
| 7. | 01007 | Serious | 19260651 B04 | 06/10/2004 | 06/15/2004 | $488 | $750 | $0 | I - Informal Settlement | ||
| 8. | 01008 | Other | 19260651 H01 | 06/10/2004 | 06/15/2004 | $0 | $1,500 | $0 | I - Informal Settlement | ||
| 9. | 01009 | Serious | 19260651 K01 | 06/10/2004 | 06/15/2004 | $975 | $1,500 | $0 | I - Informal Settlement | ||
| 10. | 01010 | Serious | 19261053 B04 | 06/10/2004 | 07/01/2004 | $293 | $450 | $0 | I - Informal Settlement | ||
| 11. | 01011 | Serious | 19261060 A | 06/10/2004 | 07/01/2004 | $293 | $450 | $0 | I - Informal Settlement | ||
| 12. | 01012A | Serious | 19101200 E01 | 06/10/2004 | 07/01/2004 | $293 | $450 | $0 | I - Informal Settlement | ||
| 13. | 01012B | Serious | 19101200 G08 | 06/10/2004 | 07/01/2004 | $0 | $0 | $0 | I - Informal Settlement | ||
| 14. | 01012C | Serious | 19101200 H | 06/10/2004 | 07/01/2004 | $0 | $0 | $0 | I - Informal Settlement | ||
| 15. | 02001 | Willful | 19260652 A01 | 06/10/2004 | 06/15/2004 | $9,100 | $14,000 | $0 | I - Informal Settlement |
Investigation Summary
On December 15, 2003, an employee and a coworker were working in a trench. They were buried in a fifteen foot deep, un-shored excavation while installing a sewer pipe for newly constructed townhouses. The coworker, who was buried to his waist, was rescued by first responders of the New York City Fire Department. Prior to the arrival of firefighters, the excavator operator attempted to dig-out the completely buried employee. This attempt was unsuccessful in saving his life.
Keywords: CHEST, EXCAVATION, FRACTURE, PPE, TRENCH, PIPE, UNSTABLE SOIL, CAVE-IN
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 306738105 | Fatality | Fracture | Occupation not reported |