Inspection Detail

Inspection: 306749193 - Trustmark South Inc.

Inspection Information - Office: Jacksonville Area Office

Inspection Nr: 306749193

Report ID: 0419700

Date Opened: 02/06/2004

Site Address:
Trustmark South Inc.
14900 River Road
Pensacola, FL 32507

Mailing Address:
Po Box 2105, Gulf Shores, AL 36547

Union Status: NonUnion

SIC:1542

NAICS: 236220/Commercial and Institutional Building Construction

Inspection Type: Unprog Rel

Scope: Complete

Advanced Notice: Y

Ownership: Private

Safety/Health: Safety

Close Conference: 02/10/2004

Emphasis: S:Construction Fatalities

Case Closed: 05/07/2004

Related Activity
Type	Activity Nr	Safety	Health
Accident	101353613

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				2		2
Current Violations				1		1
Initial Penalty	$0	$0	$0	$0	$0	$0
Current Penalty	$0	$0	$0	$0	$0	$0
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	Contest	Latest Event	Note
1.	01001	Other	19260550 A12	04/15/2004	04/20/2004	$0	$0	$0		I - Informal Settlement
2.	01002	Other	19260550 A14 I	04/15/2004	04/20/2004	$0	$0	$0		I - Informal Settlement	Citation has been deleted.

Investigation Summary

Investigation Nr: 201352390

Event: 02/05/2004

Employee killed by steel concrete form

On February 5, 2004, Employee #1 was assisting with the lowering of a large steel concrete form to the ground. The form was 20 ft by 12 ft and weighed 6840 lbs. The form was being lowered by a Manitowac crane from a condominium under construction. The crane operator could not see the placement of the form on the ground and was receiving instructions from the signalman via a radio. The form was lowered to about 20 ft from the ground and held in place by the crane, while Employee #1 and a signalman grabbed the taglines to stabilize the form. The signalman then instructed the crane operator to lower the form. He stopped lowering when the form was about 2 ft from the ground. The signalman instructed Employee #1 to go to the other side of the form to ensure that nothing was going to fall off or foul the tagline. The signalman looked up at the cables to ensure that they were not tangled and instructed the crane operator to lower the form to the ground. When the signalman looked at the other end of the form, he observed that Employee #1 was under the form. Employee #1 was crushed by the weight of the steel form. He was killed.

Keywords: HEAD, CONCRETE, FRACTURE, STEEL, CARPENTER, CONSTRUCTION, CAUGHT BETWEEN, CRUSHED, CRANE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	306749193					Occupation not reported

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