Inspection Detail

Inspection: 301186151 - Advanced American Diving Service, Inc.

Inspection Information - Office: Washington Area Office

Inspection Nr: 301186151

Report ID: 1032300

Date Opened: 03/05/1999

Site Address:
Advanced American Diving Service, Inc.
3103 Lower River Rd
Vancouver, WA 98660

Mailing Address:
Po Box 1630, Oregon City, OR 97045

Union Status: Union

SIC:1629

NAICS: 0

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 03/10/1999

Planning Guide: Safety-Construction

Emphasis: L:Fedconst, S:Construction, S:Construction Fatalities

Case Closed: 05/07/1999

Related Activity
Type	Activity Nr	Safety	Health
Accident	101580173

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations	1			1		2
Initial Penalty	$3,000	$0	$0	$0	$0	$3,000
Current Penalty	$2,000	$0	$0	$0	$0	$2,000
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	Note
1.	01001	Other	19260251 A04	03/23/1999	04/09/1999	$0	$500	$0		I - Informal Settlement
2.	01002	Serious	19260251 B03	03/23/1999	04/09/1999	$2,000	$2,500	$0		I - Informal Settlement

Investigation Summary

Investigation Nr: 201580107

Event: 03/04/1999

Employee crushed by concrete form

On March 4, 1999, Employee #1 was working as the lead man of a form stripping crew under a new concrete pier. Support beams for the form work had been removed leaving large 12 ft by 12 ft pre-manufactured forms and filler plywood adhered to the under side of the concrete pier. A single chain and job-made metal clips wired to the chain secured the 12 ft by 12 ft sections. While pulling construction debris from the water, the crew pulled under some forms that were not stripped. As Employee #1 crossed the barge, one of the 12 ft by 12 ft panels weighing 1,800 lbs pulled loose from the ceiling. Either the form knocked the clip off or the clip had already fallen off, allowing the panel to fall on Employee #1, crushing him.

Keywords: CHAIN, CONCRETE FORM WORK, PIER, WORK RULES, CONSTRUCTION, CRUSHED, FALLING OBJECT, EQUIPMENT APPROVAL

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	301186151			Fatality	Other	Concrete and terrazzo finishers

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