Inspection Detail

Inspection: 308231349 - Jaguar Aquatics, Inc.

Inspection Information - Office: Sc Department Of Labor, Licensing, And Regulation

Inspection Nr: 308231349

Report ID: 0454510

Date Opened: 10/06/2004

Site Address:
Jaguar Aquatics, Inc.
10-C Swingle Manor
Hilton Head Island, SC 29928

Mailing Address:
Po Box 6509, Hilton Head Island, SC 29938

Union Status: NonUnion

SIC:1771

NAICS: 238140/Masonry Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 12/01/2004

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 12/07/2006

Related Activity
Type	Activity Nr	Safety	Health
Accident	100375310

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations	2					2
Initial Penalty	$750	$0	$0	$0	$0	$750
Current Penalty	$750	$0	$0	$0	$0	$750
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	Serious	19260021 B02	12/09/2004	01/11/2005	$375	$375	$0		-
2.	01002	Serious	19260703 A01	12/09/2004	12/15/2004	$375	$375	$0		-

Investigation Summary

Investigation Nr: 200373264

Event: 10/05/2004

Formwork structure collapses and kills employee

Employee #1 and five other coworkers, working for a concrete and masonry company, were assisting another contractor's four employees to complete the pour of a new elevated pool deck in a residential area. As the concrete was poured mainly on one end of the formwork, the weight caused the structure to collapse causing some of the employees to slide down as the deck formwork tilted. An emergency medical services unit was called on site to administer first aid and all injuries were treated as minor. After treatment was administered, a head count was done and it was determined that Employee #1 was missing. He was found beneath rubble of collapsed deck and formwork. The EMS unit attempted to revive him, but Employee #1 died at the scene.

Keywords: DECKING, COLLAPSE, CRUSHED, POOL, CONCRETE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	308231349			Fatality	Asphyxia	Construction laborers

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