Inspection Detail

Inspection: 310769526 - Advance Concrete Form, Inc.

Inspection Information - Office: Madison Area Office

Inspection Nr: 310769526

Report ID: 0523300

Date Opened: 02/04/2009

Site Address:
Advance Concrete Form, Inc.
5102 Pflaum Road
Madison, WI 53718

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:3531

NAICS: 333120/Construction Machinery Manufacturing

Inspection Type: Planned

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 03/04/2009

Emphasis: L:Piv, N:Amputate, S:Amputations, S:Powered Ind Vehicle

Case Closed: 05/18/2009

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	7			1		8
Current Violations	6			1		7
Initial Penalty	$8,250	$0	$0	$0	$0	$8,250
Current Penalty	$5,000	$0	$0	$0	$0	$5,000
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	Note
1.	01001	Serious	19100138 A	03/18/2009	03/30/2009	$0	$750	$0	I - Informal Settlement	Citation has been deleted.
2.	01002	Serious	19100147 C01	03/18/2009	04/06/2009	$1,000	$1,500	$0	I - Informal Settlement
3.	01003A	Serious	19100147 C04 I	03/18/2009	04/06/2009	$1,000	$1,500	$0	I - Informal Settlement
4.	01003B	Serious	19100147 D04 I	03/18/2009	04/06/2009	$0	$0	$0	I - Informal Settlement
5.	01004	Serious	19100147 C07 I	03/18/2009	04/06/2009	$1,000	$1,500	$0	I - Informal Settlement
6.	01005	Serious	19100215 A01	03/18/2009	07/10/2009	$750	$1,050	$0	I - Informal Settlement
7.	01006	Serious	19100217 C02 IB	03/18/2009	03/30/2009	$1,000	$1,500	$0	I - Informal Settlement
8.	01007A	Serious	19101200 E01	03/18/2009	04/06/2009	$250	$450	$0	I - Informal Settlement
9.	01007B	Serious	19101200 H01	03/18/2009	04/06/2009	$0	$0	$0	-
10.	02001	Other	19100242 B	03/18/2009	03/30/2009	$0	$0	$0	-

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