Inspection Detail
Inspection: 308575083 - Prestress Engineering Corporation
Inspection Information - Office: Peoria Area Office
Site Address:
Prestress Engineering Corporation
15606 E. 3200 North Rd
Blackstone, IL 61313
Mailing Address:
, , 00000
Union Status: Union
SIC:3272
NAICS: 327390/Other Concrete Product Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 04/02/2007
Emphasis: S:Struck-By
Case Closed: 12/04/2007
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 100272723 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 4 | 1 | 5 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $24,000 | $0 | $0 | $0 | $0 | $24,000 |
| Current Penalty | $6,000 | $0 | $0 | $0 | $0 | $6,000 |
| 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 | 19100147 C04 II | 04/03/2007 | 05/18/2007 | $4,000 | $4,000 | $0 | 05/25/2007 | F - Formal Settlement | Citation has been deleted. |
| 2. | 01002 | Serious | 19100147 C07 I | 04/03/2007 | 05/18/2007 | $4,000 | $4,000 | $0 | 05/25/2007 | F - Formal Settlement | Citation has been deleted. |
| 3. | 01003A | Serious | 19100147 D04 I | 04/03/2007 | 05/18/2007 | $4,000 | $4,000 | $0 | 05/25/2007 | F - Formal Settlement | Citation has been deleted. |
| 4. | 01003B | Serious | 19100147 F03 I | 04/03/2007 | 05/18/2007 | $0 | $0 | $0 | 05/25/2007 | F - Formal Settlement | Citation has been deleted. |
| 5. | 01004A | Serious | 19100147 C04 II | 04/03/2007 | 05/18/2007 | $6,000 | $4,000 | $0 | 05/25/2007 | F - Formal Settlement | |
| 6. | 01004B | Serious | 19100147 C07 I | 04/03/2007 | 05/18/2007 | $0 | $4,000 | $0 | 05/25/2007 | F - Formal Settlement | |
| 7. | 01004C | Serious | 19100147 D04 I | 04/03/2007 | 05/18/2007 | $0 | $4,000 | $0 | 05/25/2007 | F - Formal Settlement | |
| 8. | 01004D | Serious | 19100147 F03 I | 04/03/2007 | 05/18/2007 | $0 | $0 | $0 | 05/25/2007 | F - Formal Settlement | |
| 9. | 02001 | Other | 19040029 B03 | 04/03/2007 | 04/13/2007 | $0 | $0 | $0 | 05/25/2007 | F - Formal Settlement |
Investigation Summary
On Tuesday, December 19, 2006, three employees were working as the set-up crew, breaking down a concrete form from 102 feet high to 90 feet high, taking the bottom rollers off, and servicing and maintaining the rollers at the south end of the 350 East Bed. The three employees were in the process of taking off the rollers. The beds, made of concrete and concrete forms, were located outside on the west side of the property. The beds were approximately 400 feet long and 10 feet deep with approximately 340 feet of form located in the beds. The employees were on day 2 of a 5-day process of tearing down the bed. The employees had taken one set of rollers off a 30-foot section of form and proceeded to the next form. At approximately 10:30 a.m., Employee #1 started to jack up the form with the form jack when he realized they had forgotten a metal shim that was needed at the other section of the form. Employee #1 went to the previous section of the form to look for the metal shim but could not find it. A coworker started walking toward Employee #1 to help find the metal shim. While the coworker was walking toward Employee #1, the 30-foot section of form fell on Employee #1 crushing him, and he was declared dead at the scene. Employee #1, age 40, had been employed as a laborer for Prestress Engineering Corporation, a manufacturing facility of concrete products, for 7.5 weeks. This work was a normal routine, and Employee #1 had performed it daily since he was hired.
Keywords: CONCRETE FORM WORK, CRUSHED, FALLING OBJECT, JACK
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 308575083 | Fatality | Other | Occupation not reported |
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