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Inspection Detail
Inspection: 310455175 - Formco Foundations Inc
Inspection Information - Office: Utah Division Of Occupational Safety And Health
Site Address:
Formco Foundations Inc
8076 Big Cottonwood Way
Brighton, UT 84092
Mailing Address:
4128 West Nike Drive, West Jordan, UT 84088
Union Status: NonUnion
SIC:1771
NAICS: 238110/Poured Concrete Foundation and Structure Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 04/02/2007
Planning Guide: Safety-Manufacturing
Emphasis:
Case Closed: 04/02/2007
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101565000 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 5 | 5 | ||||
| Current Violations | ||||||
| Initial Penalty | $20,000 | $0 | $0 | $0 | $0 | $20,000 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| 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 | 19260451 B02 | 05/24/2007 | 07/12/2007 | $4,000 | $4,000 | $0 | 06/20/2007 | A - Amendment | Citation has been deleted. |
| 2. | 01002 | Serious | 19260451 E01 | 05/24/2007 | 07/12/2007 | $4,000 | $4,000 | $0 | 06/20/2007 | A - Amendment | Citation has been deleted. |
| 3. | 01003 | Serious | 19260451 F03 | 05/24/2007 | 07/12/2007 | $4,000 | $4,000 | $0 | 06/20/2007 | A - Amendment | Citation has been deleted. |
| 4. | 01004 | Serious | 19260451 G04 I | 05/24/2007 | 07/12/2007 | $4,000 | $4,000 | $0 | 06/20/2007 | A - Amendment | Citation has been deleted. |
| 5. | 01005 | Serious | 19260501 B13 | 05/24/2007 | 07/12/2007 | $4,000 | $4,000 | $0 | 06/20/2007 | A - Amendment | Citation has been deleted. |
Investigation Summary
At approximately 2:30 p.m. on April 2, 2007, an employee was standing on a scaffold. The platform of the scaffold was located 25 feet above a wooden deck. He was holding a two and one half inch rubber hose, attempting to pour a concrete wall. The hose had plugged and he attempted to clear the hose, "shoot the rabbit." He placed a sponge rubber plug in the hose and forced it through the hose with compressed air. As the sponge cleared the end of the hose, the hose jerked and knocked the employee from the scaffold. The employee was wearing no fall protection. The scaffold appeared to consist of two 2 by 8 planks, with no guard railings. The employee fell and struck the deck. He was killed.
Keywords: DECKING, PLATFORM, HEAD, FALL, FALL PROTECTION, CONCUSSION, WORK SURFACE, SCAFFOLD
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 310455175 | Fatality | Concussion | Occupation not reported |