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Inspection Detail
Inspection: 314384793 - Concrete Forming Associates
Inspection Information - Office: Nc Department Of Labor - Winston-Salem
Site Address:
Concrete Forming Associates
700 Snyder Street
Wilkesboro, NC 28697
Mailing Address:
Post Office Box 1748, Mooresville, NC 28115
Union Status: NonUnion
SIC:1771
NAICS: 238110/Poured Concrete Foundation and Structure Contractors
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 07/01/2010
Planning Guide: Health-Construction
Emphasis: L:Commcon, S:Program Improvements
Case Closed: 10/30/2010
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 100074707 | ||
| Referral | 200301216 | Yes | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 3 | 3 | ||||
| Initial Penalty | $3,400 | $0 | $0 | $0 | $0 | $3,400 |
| Current Penalty | $3,400 | $0 | $0 | $0 | $0 | $3,400 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Serious | 19260020 B02 | 07/08/2010 | 07/13/2010 | $1,400 | $1,400 | $0 | - | ||
| 2. | 01002A | Serious | 19260502 B03 | 07/08/2010 | 07/13/2010 | $1,400 | $1,400 | $0 | - | ||
| 3. | 01002B | Serious | 19260502 B01 | 07/08/2010 | 07/13/2010 | $0 | $0 | $0 | - | ||
| 4. | 01003 | Serious | 19260701 B | 07/08/2010 | 07/13/2010 | $600 | $600 | $0 | - |
Investigation Summary
On March 24, 2010, an employee fell through the guardrail to the soft ground approximately 36 feet below. The employer was constructing a concrete wall for the interior section of the new pump station at the Wastewater Treatment plant for the Town of Wilkesboro. The employee was hospitalized and treated for cuts on his head.
Keywords: HEAD, GUARDRAIL, CONSTRUCTION, LACERATION, FALL, WORK SURFACE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 314384793 | Hospitalized injury | Cut/Laceration | Construction laborers |