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### Inspection Detail

**Case Status: CLOSED**

#### **Inspection: 1609129.015 - Crete'S Here Llc**

**Inspection Information - Office: Madison**

 

**Inspection Nr**

**Report ID**

**Date Opened**

----

**Site Address**: 			   Crete'S Here Llc			   126 Violet StreetPalmyra, WI 53156

**Mailing Address**: 			   73 Shirley Street, Fort Atkinson, WI 53538

**Union Status**: NonUnion

**SIC**:

**NAICS**: 238110/Poured Concrete Foundation and Structure Contractors

----

**Inspection Type**: Fat/Cat

**Scope**: Partial

**Advanced Notice**: N

**Ownership**: Private

**Safety/Health**: Safety

**Close Conference**: 07/20/2022

**Emphasis**:P:Fall, N:Trench, L:Fall

**Case Closed**: 08/28/2023

----

**Case Status: CLOSED**

#### **Investigation Summary**

**Investigation Nr**

**Event**

At 11:45 a.m. on July 20, 2022, an employee was working from a metal bracket form scaffold platform setting up walers. The employee and coworkers were working from a platform supported by a metal bracket form scaffold system, while installing wall forms in preparation for concrete.  The employees were installing and setting walers and other components of the wall forms while working from the scaffold platform.  The platform was over 6 feet high above the ground.  The platform consisted of two 2-inch by 7-inch wooden boards, side by side, and metal bracket form scaffolding.  Metal stakes, about 24 inches in length, were installed in the ground to hold the turnbuckles for the wall forms. The metal stakes extended out of the ground about 14 inches. The employee fell from the scaffold platform to the ground below and was impaled by a steel stake upon landing, which resulted in a fatality. The work platform was not fully planked or decked and the platform was less than 18 inches. Protection from impalement hazards regarding the metal stakes used to secure the turnbuckles of the wall forms was not implemented. These factors may have contributed to the

**Keywords:**concrete, decking, fall, fall from elevation, impaled, installing, planking, scaffold, stakes
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