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Inspection Detail

Inspection: 108961426 - United Forming

Inspection Information - Office: Atlanta West Area Office

 

Inspection Nr: 108961426
Report ID: 0418200
Date Opened: 06/29/1994

Site Address:
United Forming
908 18th Street
Columbus, GA 31901

Mailing Address:
1895 Pheonix Blvd., One Crown Center, Suite 110, Atlanta, GA 30346

Union Status: NonUnion

SIC:1542

NAICS: 0 

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 06/29/1994

Emphasis:

Case Closed: 09/21/1994

Related Activity
Type Activity Nr Safety Health
Accident 360823819
Referral 901173484 Yes

Investigation Summary

Investigation Nr: 922534
Event: 06/23/1994
Employee killed in unprotected 30 ft fall

Employee #1, who was employed by a form work subcontractor, was working on a hospital renovation/addition. According to a witness, Employee #1 passed through a guardrail without wearing a safety belt. He then set a 4 by 4 at an upward angle to a column, climbed it, and began work. The 4 by 4 slipped or rolled, causing Employee #1 to fall approximately 30 feet from the fourth floor to the second floor. He later died from the injuries he sustained.

Keywords: CONCRETE FORM WORK, UNSECURED, WORK RULES, SAFETY BELT, SLIP, CONSTRUCTION, FALL, UNSTABLE POSITION

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 108961426 Fatality Concussion Occupation not reported
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