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Occupational Safety and Health Administration OSHA

Inspection Detail

Case Status: CLOSED
Inspection: 1452624.015 - Hausmann Construction Inc

Inspection Information - Office: Omaha

Nr: 1452624.015Report ID: 0728900Open Date: 12/20/2019

Hausmann Construction Inc
1111 Q St.
Lincoln, NE 68508
Union Status: NonUnion
SIC:
NAICS: 236115/New Single-Family Housing Construction (except Operative Builders)
Mailing: 8545 Executive Woods Dr, Suite #1, Lincoln, NE 68512

Inspection Type:Fat/Cat
Scope:Partial Advanced Notice:N
Ownership:Private
Safety/Health:Safety Close Conference:12/20/2019
Emphasis: L:XfallelecClose Case:04/20/2020

Related Activity:TypeIDSafetyHealth
 Accident1528879    
Case Status: CLOSED

Violation Summary
Serious Willful Repeat Other Unclass Total
Initial Violations 1 1
Current Violations 1 1
Initial Penalty $12,145 $0 $0 $0 $0 $12,145
Current Penalty $12,145 $0 $0 $0 $0 $12,145
FTA Amount $0 $0 $0 $0 $0 $0

Violation Items
# ID Type Standard Issuance Abate Curr$ Init$ Fta$ Contest LastEvent
  1. 01001 Serious 19260021 B02 02/20/2020 03/17/2020 $12,145 $12,145 $0 I - Informal Settlement

Accident Investigation Summary
Summary Nr: 122723.015Event: 12/20/2019Employee Is Killed When Concrete Form Tips Over And Falls To
At 1:30 p.m. on December 20, 2019, Employee #1, employed by a construction company, was engaged in concrete form work at 15-story commercial building. After climbing a 13-foot vertical form, he tied off at the top of the form. The form tipped over and fell to the ground with the attached employee. Employee #1 struck his head on the ground and, simultaneously, was struck by the 1,500-pound form. He was killed.
Keywords: struck by, falling object, roll-over, head, construction, struck against, unsecured, climbing, form work, tie-off, skull
Inspection Degree Nature Occupation
1 1452624.015 Fatality Other

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