Inspection Detail

Inspection: 123681488 - Pettibone Construction Inc

Inspection Information - Office: Va-E-Manassas (Regional Office)- Safety 0355114

Inspection Nr: 123681488

Report ID: 0355114

Date Opened: 05/03/1994

Site Address:
Pettibone Construction Inc
Lot #35 Frishman Way
Dale City, VA 22193

Mailing Address:
8253 J Backlick Rd., Lorton, VA 22079

Union Status: NonUnion

SIC:1623

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 05/05/1994

Planning Guide: Safety-Construction

Emphasis: N:Trench

Case Closed: 02/28/1995

Related Activity
Type	Activity Nr	Safety	Health
Accident	362312415

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	4					4
Current Violations	4					4
Initial Penalty	$2,250	$0	$0	$0	$0	$2,250
Current Penalty	$1,350	$0	$0	$0	$0	$1,350
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
1.	01001A	Serious	19260059 E01	09/08/1994	10/03/1994	$150	$375	$0	I - Informal Settlement
2.	01001C	Serious	19260059 H	09/08/1994	10/03/1994	$0	$0	$0	-
3.	01002	Serious	19260651 J02	09/08/1994	09/14/1994	$400	$625	$0	I - Informal Settlement
4.	01003	Serious	19260651 K01	09/08/1994	09/20/1994	$400	$625	$0	I - Informal Settlement
5.	01004	Serious	19260652 A01	09/08/1994	09/14/1994	$400	$625	$0	I - Informal Settlement

Investigation Summary

Investigation Nr: 950782

Event: 05/03/1994

Employee injured when struck by material from spoils pile

At approximately 3:38 p.m. on May 3, 1994, Employee #1 and a coworker were installing a 4 in. sanitary PVC sewer line into an area of future homes. The backhoe placed soil on the spoils pile. A rock, or large piece of dirt, came off the spoils pile and struck Employee #1 in the center of his back at the shoulder blades. Having no feeling in his lower extremities and unable to move his legs, Employee #1 was taken by the Fire Department to Potomac Hospital, Woodbridge, VA.

Keywords: SEWER, INSTALLING, ROCK, CONSTRUCTION, BACK, STRUCK BY, FALLING OBJECT, LEG

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	123681488			Hospitalized injury	Other	Construction trades, n.e.c.

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