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Inspection Detail
Inspection: 308381557 - Gateway Concrete Forming Systems, Inc.
Inspection Information - Office: Madison Area Office
Site Address:
Gateway Concrete Forming Systems, Inc.
707 South Mills Street
Madison, WI 53715
Mailing Address:
6748 North Dowagiac, Chicago, IL 60646
Union Status: Union
SIC:1771
NAICS: 238110/Poured Concrete Foundation and Structure Contractors
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 08/23/2005
Emphasis: L:Fall
Case Closed: 11/04/2005
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 200803799 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $3,500 | $0 | $0 | $0 | $0 | $3,500 |
| Current Penalty | $2,450 | $0 | $0 | $0 | $0 | $2,450 |
| 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 | 19260501 B02 I | 08/29/2005 | 10/15/2005 | $2,450 | $3,500 | $0 | I - Informal Settlement |
Investigation Summary
On August 8, 2005, an employee was installing concrete forms on a three-story structure. The employee fell approximately 18.6 feet to a lower deck. The employee sustained head and back injuries, which included a fracture, and was hospitalized.
Keywords: CONCRETE FORM WORK, FRACTURE, HEAD, INSTALLING, BUILDING, CONSTRUCTION, BACK, FALL, FALL PROTECTION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 308381557 | Hospitalized injury | Fracture | Occupation not reported |