Inspection Detail

Inspection: 307579300 - Gustavo'S Concrete, Llc.

Inspection Information - Office: Department Of Labor, Licensing, And Regulation Division Of Labor And Industry Maryland Occupational Safety And Health

Inspection Nr: 307579300

Report ID: 0352440

Date Opened: 04/28/2004

Site Address:
Gustavo'S Concrete, Llc.
58 Colony Crossing
Edgewater, MD 21037

Mailing Address:
4513 Wicomico Avenue, Edgewater, MD 20705

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: 05/14/2004

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 09/30/2004

Related Activity
Type	Activity Nr	Safety	Health
Accident	102356086

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations	1			1		2
Initial Penalty	$2,550	$0	$0	$0	$0	$2,550
Current Penalty	$1,275	$0	$0	$0	$0	$1,275
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	Serious	19260100 A	07/09/2004	07/14/2004	$1,275	$2,550	$0		I - Informal Settlement
2.	02001	Other	19260503 B01	07/09/2004	07/14/2004	$0	$0	$0		-

Investigation Summary

Investigation Nr: 202354726

Event: 04/28/2004

Employee falls when struck by boom truck

On April 28, 2004, Employee #1 was standing atop a formed foundation wall for a single family home, preparing to fill the concrete form. A concrete pump truck, which belonged to another contractor, was not situated on stable, compacted, and level soil. The 6-by-6 inch timber cribbing used under the manufacturer provided wooden outrigger support pads were also not stable. He was struck by the boom of the concrete pump truck, which tipped off the base of one of its outriggers. He fell 9 ft, and sustained a concussion as well as lacerations and contusions to his head, hands, ear, and face, and was hospitalized.

Keywords: HEAD, CONSTRUCTION, EAR, LACERATION, STRUCK BY, CONCUSSION, HAND

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	307579300			Hospitalized injury	Concussion	Construction laborers

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