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Inspection Detail
Inspection: 3319225 - Formwork Services Inc
Inspection Information - Office: Va-E-Manassas (Regional Office)- Safety 0355114
Site Address:
Formwork Services Inc
8330 Boone Blvd
Vienna, VA 22180
Mailing Address:
7535 Little River Turnpike Suite 110, Annandale, VA 22003
Union Status: NonUnion
SIC:1799
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 01/09/1985
Planning Guide: Safety-Construction
Emphasis:
Case Closed: 02/26/1985
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 360632392 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | ||||||
| Initial Penalty | $810 | $0 | $0 | $0 | $0 | $810 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| 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. | 01001A | Serious | 19260500 E01 II | 01/30/1985 | 02/02/1985 | $810 | $810 | $0 | A - Amendment | Citation has been deleted. | |
| 2. | 01001B | Serious | 19260501 F | 01/30/1985 | 02/02/1985 | $0 | $0 | $0 | A - Amendment | Citation has been deleted. |
Investigation Summary
EMPLOYEE #1 WAS STANDING ON A STAIR LANDING BETWEEN 8TH AND 9TH FLOORS. THE LANDING HAD ONLY REINFORCING WIRE IN IT. IT HAD NOT BEEN POURED IN CONCRETE. ANOTHER EMPLOYEE ON THE 9TH FLOOR WAS SLIDING A 4'X 8' SHEET OF PLYWOOD DOWN TO EMPLOYEE #1. AS EMPLOYEE #1 STEPPED BACK HIS HEEL CAUGHT IN THE REINFORCING WIRE AND HE FELL OVER THE SIDE OF THE LANDING DOWN INTO AN ADJACENT DUCT SHAFT OPENING (38" X 15'). HE FELL ABOUT 73' DOWN TO A DUCT ON THE 3RD FLOOR. HE CAME TO REST ON THE STAIRS JUST BELOW THIS FLOOR BESIDE THE DUCT. EMPLOYEE #1 SUSTAINED MULTIPLE SEVERE INJURIES RESULTING IN HIS DEATH. NO FILLER MATERIAL IN THE METAL PAN STAIR LANDING AND NO GUARDRAIL AROUND THE OPEN SIDE OF THE 41" WIDE STAIRS CAUSED THIS ACCIDENT.
Keywords: GUARDRAIL, STAIR LANDING, SHAFT, FALL, WORK SURFACE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 3319225 | Occupation Not Listed |