Inspection Detail

Inspection: 309517407 - Sam W. Smith, Inc.

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

Inspection Nr: 309517407

Report ID: 0453720

Date Opened: 06/23/2006

Site Address:
Sam W. Smith, Inc.
110 Lowrider Lane & Highway 220 N
Madison, NC 27025

Mailing Address:
P.O. Box 428, Eden, NC 27288

Union Status: NonUnion

SIC:1623

NAICS: 237110/Water and Sewer Line and Related Structures Construction

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/08/2006

Planning Guide: Safety-Construction

Emphasis: N:Trench, S:Construction Sep, S:Program Improvements

Case Closed: 01/17/2007

Related Activity
Type	Activity Nr	Safety	Health
Accident	100073196

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations	1			1		2
Initial Penalty	$3,500	$0	$0	$0	$0	$3,500
Current Penalty	$2,100	$0	$0	$0	$0	$2,100
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	19260652 A01	09/12/2006	09/15/2006	$2,100	$3,500	$0		I - Informal Settlement
2.	02001	Other	19260150 A04	09/12/2006	09/15/2006	$0	$0	$0		-

Investigation Summary

Investigation Nr: 200072916

Event: 06/23/2006

Employee Sustains Fracture When Trench Caves In

At approximately 8:35 a.m. on June 22, 2006, Employee #1 was working as an apprentice pipe installer. He entered a trench by way of a ladder that had been placed outside a trench box. His supervisor noticed that someone had gone into the trench by way of the ladder, and that this person would not be protected as required. The supervisor headed to the trench to call to whoever was down there and have him get out. Before he could do that, Employee #1 moved away from both the ladder and the trench box. At that time, part of a rim broke lose, and the trench caved in on Employee #1, entrapping him up to his neck. He sustained a fracture in his chest, and he was hospitalized.

Keywords: CHEST, FRACTURE, TRENCH BOX, LADDER, TRENCH, PIPE, UNSTABLE SOIL, CAVE-IN

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	309517407			Hospitalized injury	Fracture	Plumber, pipefitter and steamfiter apprentices

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