Inspection Detail
Inspection: 316678499 - Allied Concrete Forming & Associates, Inc.
Inspection Information - Office: Nc Department Of Labor - Charlotte
Site Address:
Allied Concrete Forming & Associates, Inc.
2003 Stafford St. Ext.
Monroe, NC 28110
Mailing Address:
4413 Republic Court, Concord, NC 28027
Union Status: NonUnion
SIC:1799
NAICS: 238190/ Other Foundation, Structure, and Building Exterior Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 08/22/2012
Planning Guide: Health-Construction
Emphasis: L:Commcon, S:Program Improvements
Case Closed: 10/24/2012
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102100732 |
Investigation Summary
Employee #1 was installing scaffold brackets on metal concrete forms when he fell approximately 30 ft to the bottom of the structure. Employee #1 was assisted by local fire and rescue and airlifted to a major medical facility where he was admitted for treatment of multiple fractures, and later released.
Keywords: FRACTURE, HEALTH CARE FACILITY, FALL, CONCRETE, SCAFFOLD
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 316678499 | Hospitalized injury | Fracture | Occupation not reported |
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