Inspection Detail

Inspection: 111287256 - A J Concrete Services Inc

Inspection Information - Office: Dosh Seattle Service Location, Seattle, Wa

Inspection Nr: 111287256

Report ID: 1055320

Date Opened: 07/16/1993

Site Address:
A J Concrete Services Inc
3721 157th Ave Ne
Redmond, WA 98011

Mailing Address:
5845 Jakaranda Dr, Mableton, GA 30054

Union Status: Union

SIC:1771

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 08/18/1993

Emphasis: L:Wasafety

Case Closed: 09/07/1994

Related Activity
Type	Activity Nr	Safety	Health
Accident	361196991

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations	1			1		2
Initial Penalty	$825	$0	$0	$0	$0	$825
Current Penalty	$825	$0	$0	$0	$0	$825
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	Contest	Latest Event
1.	01001	Serious	1552451001	09/20/1993	08/18/1993	$825	$825	$0	10/13/1993	J - ALJ Decision
2.	02001A	Other	1550011003 A	09/20/1993	10/23/1993	$0	$0	$0	10/13/1993	J - ALJ Decision
3.	02001B	Other	1550011003 D	09/20/1993	10/23/1993	$0	$0	$0	10/13/1993	J - ALJ Decision
4.	02001C	Other	1550011003 F	09/20/1993	10/23/1993	$0	$0	$0	10/13/1993	J - ALJ Decision

Investigation Summary

Investigation Nr: 170044010

Event: 07/16/1993

Employee falls through floor opening to floor below

Employee #1 was instructed by his supervisor to cover floor holes. Employee #1 was exposed to a fall hazard as he covered the first floor hole, but finished covering the first floor hole without incident. As Employee #1 was pulling wood toward the second hole, he stepped backward into that second hole and fell 14 feet to the floor.

Keywords: WORK RULES, INATTENTION, UNGUARDED FL OPENING, CONSTRUCTION, FALL, FLOOR OPENING

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	111287256			Hospitalized injury	Fracture	Occupation not reported

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