Inspection Detail

Inspection: 311816433 - Miguel Angel Marcelo Martinez

Inspection Information - Office: Jacksonville Area Office

Inspection Nr: 311816433

Report ID: 0419700

Date Opened: 07/10/2008

Site Address:
Miguel Angel Marcelo Martinez
5796 Tippin Ave
Pensacola, FL 32504

Mailing Address:
6928 Forrest Avenue, Apt D, Douglasville, GA 30134

Union Status: NonUnion

SIC:1741

NAICS: 238140/Masonry Contractors

Inspection Type: Accident

Scope: Complete

Advanced Notice: Y

Ownership: Private

Safety/Health: Safety

Close Conference: 07/23/2008

Emphasis: L:Fall, S:Commercial Constr, S:Fall From Height, S:Powered Ind Vehicle, S:Struck-By

Case Closed: 11/17/2015

Related Activity
Type	Activity Nr	Safety	Health
Accident	101356962

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations	1					1
Initial Penalty	$4,900	$0	$0	$0	$0	$4,900
Current Penalty	$4,900	$0	$0	$0	$0	$4,900
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	5A0001	12/24/2008	12/30/2008	$4,900	$4,900	$0		A - Amendment

Investigation Summary

Investigation Nr: 201353612

Event: 07/10/2008

Employee Is Killed When Struck by Mortar Bucket

On July 9, 2008, Employee #1 was standing on the top portion of the outriggers of the tubular welded scaffold. He was waiting for the operator to bring a grout hog bucket, called a mortar bucket, to fill the concrete wall. The operator of the JCB variable reach forklift, Serial Number SLP508C05E0588187, Model Number 508C, was hoisting the grout hog bucket to Employee #1. The grout hog bucket was not secured to the forks by the safety pin. The bucket slipped off the forks and struck Employee #1's head. He was killed.

Keywords: STRUCK BY, FALLING OBJECT, TUBULAR SCAFFOLD, HEAD, WALL, UNSECURED, SLIP, CONCRETE, OUTRIGGER, CRUSHED

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	311816433			Fatality	Fracture	Brickmasons and stonemasons

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