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Inspection Detail
Inspection: 124009085 - S & S Precast Inc.
Inspection Information - Office: Indiana Department Of Labor
Inspection Nr: 124009085
Report ID: 0551800
Date Opened: 10/03/1996
Site Address:
S & S Precast Inc.
440 Fitz Industrial Drive
Winamac, IN 46996
Mailing Address:
P O Box 138, Winamac, IN 46996
Union Status: NonUnion
SIC:3272
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 12/06/1996
Emphasis:
Case Closed: 09/26/1997
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361310063 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $6,000 | $0 | $0 | $0 | $0 | $6,000 |
| Current Penalty | $2,250 | $0 | $0 | $0 | $0 | $2,250 |
| 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 | 2200080101 | 01/22/1997 | 01/27/1997 | $2,250 | $3,000 | $0 | I - Informal Settlement | ||
| 2. | 01002 | Other | 2200080101 | 01/22/1997 | 02/09/1997 | $0 | $3,000 | $0 | I - Informal Settlement |
Investigation Summary
Investigation Nr: 170392898
Event: 10/03/1996
Employee killed when struck by falling concrete form
At approximately 2:30 p.m. on October 3, 1996, Employee #1 was working on a concrete form when another concrete form fell off a pallet handler and struck him on the back of the head. He was crushed and killed.
Keywords: CONCRETE FORM WORK, HEAD, UNSECURED, WORK RULES, CRUSHED, FALLING OBJECT
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 124009085 | Fatality | Other | Concrete and terrazzo finishers |