Inspection Detail

Inspection: 309157154 - Haggerstone, Llc

Inspection Information - Office: Nc Department Of Labor - Charlotte

Inspection Nr: 309157154

Report ID: 0453730

Date Opened: 07/13/2005

Site Address:
Haggerstone, Llc
2416 Laburnam Ave
Charlotte, NC 28212

Mailing Address:
8410-S Dunmore Dr, Huntersville, NC 28078

Union Status: NonUnion

SIC:1761

NAICS: 238170/Siding Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 07/20/2005

Planning Guide: Health-Construction

Emphasis: S:Construction Sep, S:Program Improvements

Case Closed: 02/23/2007

Related Activity
Type	Activity Nr	Safety	Health
Accident	102095213

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	3			2		5
Current Violations	3			2		5
Initial Penalty	$3,500	$0	$0	$0	$0	$3,500
Current Penalty	$1,200	$0	$0	$0	$0	$1,200
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 C02 I	08/04/2005	08/12/2005	$500	$1,400	$0	I - Informal Settlement
2.	01001B	Serious	19260451 F03	08/04/2005	08/12/2005	$0	$0	$0	-
3.	01001C	Serious	19260451 G04 IV	08/04/2005	08/12/2005	$0	$0	$0	-
4.	01002A	Serious	19260452 J02	08/04/2005	08/12/2005	$500	$1,400	$0	I - Informal Settlement
5.	01002B	Serious	19260454 B	08/04/2005	08/12/2005	$0	$0	$0	-
6.	01003A	Serious	19260502 D15	08/04/2005	08/12/2005	$200	$700	$0	I - Informal Settlement
7.	01003B	Serious	19260503 A02	08/04/2005	08/12/2005	$0	$0	$0	-
8.	02001	Other	19260020 B01	08/04/2005	08/12/2005	$0	$0	$0	-
9.	02002	Other	19260020 B02	08/04/2005	08/12/2005	$0	$0	$0	-

Investigation Summary

Investigation Nr: 202076626

Event: 07/13/2005

Employee Fractures Back When Scaffold Falls

On July 13, 2005, Employee #1 was positioned on an Alum-A-Pole scaffold, when the right-hand side of the scaffold fell, causing him to fall 18 ft to the ground. He sustained a fracture to his back. He was hospitalized.

Keywords: FRACTURE, SCAFFOLD COLLAPSE, BACK, FALL, FALLING OBJECT, SCAFFOLD

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	309157154			Hospitalized injury	Fracture	Construction laborers

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