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Inspection Detail
Inspection: 111795647 - Charles Culberson, Inc.
Inspection Information - Office: Foster City District Office
Site Address:
Charles Culberson, Inc.
1133 Old County Rd.
San Carlos, CA 94070
Mailing Address:
19975 Mckean Rd., San Jose, CA 95120
Union Status: Union
SIC:1751
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/03/1991
Planning Guide: Safety-Construction
Emphasis:
Case Closed: 02/07/1992
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361265564 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| 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 | Other | 1646 C | 09/06/1991 | 09/06/1991 | $0 | $0 | $0 | - |
Investigation Summary
At approximately 2:50 p.m. on September 4, 1991, Employee #1 was installing metal studs from a single-section, all-metal fabricated roller scaffold about 6 1/2 ft tall. As Employee #1 was climbing the scaffold, he slipped and fell to the concrete floor. He was taken to a hospital, checked, and released. Employee #1 sustained no serious injury.
Keywords: MOBILE SCAFFOLD, WORK RULES, SLIP, CONSTRUCTION, FALL, CONCUSSION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 111795647 | Hospitalized injury | Concussion | Occupation not reported |