Inspection Detail

Inspection: 102530730 - Kenny Kiewit Shea Joint Venture

Inspection Information - Office: Chicago South Area Office

Inspection Nr: 102530730

Report ID: 0521700

Date Opened: 10/21/1993

Site Address:
Kenny Kiewit Shea Joint Venture
1801 E. 134th Street
Chicago, IL 60633

Mailing Address:
1801 E 134th St, Chicago, IL 60633

Union Status: NonUnion

SIC:1629

NAICS: 0

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 03/07/1994

Emphasis:

Case Closed: 04/28/1994

Related Activity
Type	Activity Nr	Safety	Health
Accident	360965479

Violation Summary
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

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Latest Event	Note
1.	01001	Serious	19260020 B01	03/18/1994	04/12/1994	$7,000	$7,000	$0	I - Informal Settlement	Citation has been deleted.
2.	01002	Serious	19260020 B02	03/18/1994	04/12/1994	$7,000	$7,000	$0	-
3.	01003A	Serious	19260021 B02	03/18/1994	04/12/1994	$7,000	$7,000	$0	-
4.	01003B	Serious	19260800 D	03/18/1994	04/12/1994	$0	$0	$0	I - Informal Settlement	Citation has been deleted.

Investigation Summary

Investigation Nr: 724070

Event: 10/21/1993

Employee killed by collapsing concrete form

Employee #1 was a member of the 3rd shift form removal crew which dismantled and reset 15 foot diameter telescopic tunnel lining form work. Employee #1 was working at the finished end of a 150 foot long form (composed of six 25 foot sections) removing the bolts between the arch/wing sections and the inverted section. Employee #1 apparently removed all the bolts from one side of the form before the form carrier was in place. The arch/wing section collapsed on top of him and killed him.

Keywords: CONCRETE FORM WORK, COLLAPSE, UNSECURED, WORK RULES, CONSTRUCTION, STRUCK BY

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	102530730			Fatality	Other	Occupation not reported

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