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Inspection Detail
Inspection: 111797155 - Concrete Form Constructions
Inspection Information - Office: Foster City District Office
Site Address:
Concrete Form Constructions
445 Warren Street
Redwood City, CA 94063
Mailing Address:
2855 Campus Dr. Suite 215, San Mateo, CA 94403
Union Status: Union
SIC:1542
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 05/13/1992
Planning Guide: Safety-Construction
Emphasis:
Case Closed: 07/17/1992
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361344633 |
| 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 | 1509 C | 05/18/1992 | 05/15/1992 | $0 | $0 | $0 | - |
Investigation Summary
Employee #1 was stripping concrete forms off a 15 ft high column. He attempted to move down to continue his work, but before he could hook in, the lower cross member released from the form structure onto which he had just stepped, and he fell 9 ft to the ground.
Keywords: CONCRETE FORM WORK, FRACTURE, UNSECURED, WORK RULES, STRUCK AGAINST, CONSTRUCTION, EQUIPMENT FAILURE, FALL, ARM
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 111797155 | Hospitalized injury | Fracture | Occupation not reported |