Inspection Detail

Inspection: 312192602 - Venustiano Rangel Montonya Dba Montonya Constructi

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

Inspection Nr: 312192602

Report ID: 0453720

Date Opened: 08/04/2008

Site Address:
Venustiano Rangel Montonya Dba Montonya Constructi
715 Old Yadkinville Rd
Mocksville, NC 27028

Mailing Address:
4606 Stetson Dr, Gibsonville, NC 27249

Union Status: NonUnion

SIC:1761

NAICS: 238160/Roofing Contractors

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 01/30/2009

Planning Guide: Health-Construction

Emphasis: S:Program Improvements

Case Closed: 09/30/2010

Related Activity
Type	Activity Nr	Safety	Health
Accident	100073832

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	4					4
Current Violations	4					4
Initial Penalty	$2,500	$0	$0	$0	$0	$2,500
Current Penalty	$2,500	$0	$0	$0	$0	$2,500
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.	01001	Serious	19260452 K04	02/03/2009	02/06/2009	$750	$750	$0	-
2.	01002	Serious	19260452 K05	02/03/2009	02/06/2009	$750	$750	$0	-
3.	01003A	Serious	19261053 B04	02/03/2009	02/06/2009	$750	$750	$0	-
4.	01003B	Serious	19261060 A	02/03/2009	02/06/2009	$0	$0	$0	-
5.	01004A	Serious	19260451 G01	02/03/2009	02/06/2009	$250	$250	$0	-
6.	01004B	Serious	19260451 F07	02/03/2009	02/06/2009	$0	$0	$0	-
7.	01004C	Serious	19260454 B01	02/03/2009	02/06/2009	$0	$0	$0	-

Investigation Summary

Investigation Nr: 200309409

Event: 08/04/2008

Three Employees Are Injured in Scaffold Collapse

On August 4, 2008, a ladder jack scaffold collapsed, causing three employees to fall off the scaffold. Employee #1 sustained lacerations. Employee #2 sustained bruises/abrasions. Employee #3 sustained a fracture of an unspecified body part. All three employees were hospitalized.

Keywords: FRACTURE, CONSTRUCTION, SCAFFOLD COLLAPSE, LACERATION, LADDER JACK SCAFFOLD, ABRASION, FALL, CONTUSION, SCAFFOLD

Investigated Inspection
#	Inspection	Degree of Injury	Nature of Injury	Occupation
1	312192602	Hospitalized injury	Cut/Laceration	Occupation not reported
2	312192602	Hospitalized injury	Bruise/Contus/Abras	Occupation not reported
3	312192602	Hospitalized injury	Fracture	Occupation not reported

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