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Inspection Detail

Inspection: 303155550 - Capform, Inc.

Inspection Information - Office: Tampa Area Office

 

Inspection Nr: 303155550
Report ID: 0420600
Date Opened: 01/05/2000

Site Address:
Capform, Inc.
5800 Universal Blvd.
Orlando, FL 32819

Mailing Address:
5536 W. Linebaugh Av, Tampa, FL 33624

Union Status: NonUnion

SIC:1542

NAICS: 0 

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 01/05/2000

Planning Guide: Safety-Construction

Emphasis: L:Flcare, S:Construction, S:Construction Fatalities

Case Closed: 06/12/2000

Related Activity
Type Activity Nr Safety Health
Accident 102327087

Investigation Summary

Investigation Nr: 202289484
Event: 01/05/2000
Large form falls on employee

Employee #1 used a positioning lanyard hooked to a metal concrete form in a reclined support position while waiting for the crane to deposit a previously rigged form. While waiting he leaned back and moved back and forth. The movement caused the form to become unstable and the 1,500 lb. form fell onto him. He was declared dead at the scene.

Keywords: CRUSHED, LANYARD, CRANE, UNSTABLE LOAD

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 303155550 Fatality Other Construction laborers
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