Inspection Detail

Inspection: 307442996 - I. L. Smathers Dba Interstate Masonry

Inspection Information - Office: Nc Department Of Labor - Winston-Salem

Inspection Nr: 307442996

Report ID: 0453720

Date Opened: 02/25/2004

Site Address:
I. L. Smathers Dba Interstate Masonry
1990 Zephyr Rd. (Central Middle School)
Dobson, NC 27017

Mailing Address:
Po Box 875, Pilot Mountain, NC 27041

Union Status: NonUnion

SIC:1741

NAICS: 238140/Masonry Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 05/18/2004

Planning Guide: Safety-Construction

Emphasis: S:Program Improvements

Case Closed: 09/08/2004

Related Activity
Type	Activity Nr	Safety	Health
Accident	100072255

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations	1			1		2
Initial Penalty	$1,050	$0	$0	$200	$0	$1,250
Current Penalty	$1,050	$0	$0	$0	$0	$1,050
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	Latest Event
1.	01001A	Serious	19260451 G02	07/01/2004	08/18/2004	$1,050	$1,050	$0	-
2.	01001B	Serious	19260451 F07	07/01/2004	08/18/2004	$0	$0	$0	-
3.	01001C	Serious	19260454 A01	07/01/2004	08/18/2004	$0	$0	$0	-
4.	01001D	Serious	19260454 B02	07/01/2004	08/18/2004	$0	$0	$0	-
5.	02001	Other	19040002 A	07/01/2004	08/18/2004	$0	$200	$0	I - Informal Settlement

Investigation Summary

Investigation Nr: 200072080

Event: 02/25/2004

Employee Fell from Scaffold

On February 25, 2004 Employee #1 was killed when he fell from a scaffold he was dismantling.

Keywords: DISMANTLING, SCAFFOLD

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	307442996			Fatality	Other	Laborers, except construction

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