Inspection Detail

Inspection: 310502547 - Derek Lockrem Dba Masonry Specialties

Inspection Information - Office: Nc Department Of Labor - Raleigh

Inspection Nr: 310502547

Report ID: 0453710

Date Opened: 12/14/2006

Site Address:
Derek Lockrem Dba Masonry Specialties
5239 Old Dowd Road
Charlotte, NC 28208

Mailing Address:
4100 Rams Court, Monroe, NC 28110

Union Status: NonUnion

SIC:1741

NAICS: 238140/Masonry Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 01/10/2007

Planning Guide: Safety-Construction

Emphasis: S:Construction Sep

Case Closed: 03/09/2007

Related Activity
Type	Activity Nr	Safety	Health
Accident	100358043

Investigation Summary

Investigation Nr: 200355782

Event: 12/14/2006

Employee Sustains Injuries in Scaffold Collapse

Employee #1 was disassembling a scaffold when it collapsed, causing him to fall approximately 27.5 ft to the ground. Employee #1 sustained bruises and abrasions and was hospitalized.

Keywords: SCAFFOLD COLLAPSE, ABRASION, FALL, CONTUSION, SCAFFOLD

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	310502547			Hospitalized injury	Bruise/Contus/Abras	Occupation not reported

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