Inspection Detail

Inspection: 306757196 - Suntec Concrete, Inc.

Inspection Information - Office: Arizona Division Of Occupational Safety And Health (Adosh)

Inspection Nr: 306757196

Report ID: 0950411

Date Opened: 05/19/2003

Site Address:
Suntec Concrete, Inc.
1007 West Washington
Phoenix, AZ 85007

Mailing Address:
2221 West Shangri-La Road, Phoenix, AZ 85029

Union Status: NonUnion

SIC:1771

NAICS: 238110/Poured Concrete Foundation and Structure Contractors

Inspection Type: Referral

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 05/20/2003

Emphasis:

Case Closed: 05/20/2003

Related Activity
Type	Activity Nr	Safety	Health
Accident	101992618
Referral	201984630

Investigation Summary

Investigation Nr: 201989324

Event: 05/19/2003

Employee injures head when struck by form

On May 19, 2003, Employee #1 was removing a section of metal concrete form when the piece of form broke loose striking him in the head and causing him to fall. He was hospitalized with laceration.

Keywords: CONCRETE FORM WORK, HEAD, CONSTRUCTION, LACERATION, FALL, STRUCK BY, FALLING OBJECT

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	306757196			Hospitalized injury	Cut/Laceration	Construction laborers

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