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Inspection Detail
Inspection: 936636.015 - United Forming, Inc.
Inspection Information - Office: Houston South Area Office
Site Address:
United Forming, Inc.
2929 Weslayan Street
Houston, TX 77027
Mailing Address:
470 Riverside Parkway, Austell, GA 30168
Union Status: NonUnion
SIC:
NAICS: 238110/Poured Concrete Foundation and Structure Contractors
Inspection Type: Fat/Cat
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 09/26/2013
Emphasis: L:Constr6
Case Closed: 02/24/2014
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 848529 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $21,000 | $0 | $0 | $0 | $0 | $21,000 |
| Current Penalty | $14,000 | $0 | $0 | $0 | $0 | $14,000 |
| 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 | 19260451 A06 | 01/22/2014 | 01/24/2014 | $7,000 | $7,000 | $0 | I - Informal Settlement | ||
| 2. | 01002 | Serious | 19260451 F03 | 01/22/2014 | 01/25/2014 | $0 | $7,000 | $0 | I - Informal Settlement | Citation has been deleted. | |
| 3. | 01003A | Serious | 19260451 G01 VII | 01/22/2014 | 01/24/2014 | $0 | $7,000 | $0 | I - Informal Settlement | Citation has been deleted. | |
| 4. | 01003B | Serious | 19260451 A01 | 01/22/2014 | 02/12/2014 | $7,000 | $0 | $0 | I - Informal Settlement |
Investigation Summary
At 12:00 p.m. on August 29, 2013, Employee #1 was stripping forms to move to the next level of the pour for the elevator shaft. The employee fell from the working platform, down the shaft, to the underground portion of the shaft, and hit the slab below. Employee #1 was killed from severe lacerations to his back, head, and multiple broken bones.
Keywords: Back, Concrete Slab, Elevated Work Platform, Elevator, Elevator Shaft, Fall, Fracture, Head, Laceration, Struck Against
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 936636.015 | 31 | M | Fatality | Concrete and terrazzo finishers |