Inspection Detail

Inspection: 111801940 - Sfi

Inspection Information - Office: Foster City District Office

Inspection Nr: 111801940

Report ID: 0950613

Date Opened: 09/06/1994

Site Address:
Sfi
300 Brewster Ave.
Redwood City, CA 94063

Mailing Address:
11098 E. Belmont Ave., Sanger, CA 93657

Union Status: NonUnion

SIC:1761

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 02/22/1995

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 06/16/1995

Related Activity
Type	Activity Nr	Safety	Health
Accident	362300121

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations	1			1		2
Initial Penalty	$250	$0	$0	$50	$0	$300
Current Penalty	$250	$0	$0	$50	$0	$300
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	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 B	02/24/1995	03/24/1995	$50	$50	$0		-
2.	02001	Serious	1730 B01	02/24/1995	09/06/1994	$250	$250	$0		-

Investigation Summary

Investigation Nr: 170379325

Event: 09/05/1994

Employee suffers concussion in backward fall from roof

At about 5:30 p.m. on September 5, 1994, Employee #1 was on the roof of the DMV Building in Redwood City, CA, working with other employees to apply spray coating. Two coworkers were using spray hoses to apply the roof coating materials while Employee #1 walked backward, pulling the hoses with him and keeping the coils clear of the other men. He was unaware that he had reached the edge of the roof, and fell, landing in a flower bed. He suffered a concussion.

Keywords: HEAD, ROOF, CONSTRUCTION, FALL, FALL PROTECTION, CONCUSSION, BACKING UP

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	111801940			Hospitalized injury	Concussion	Occupation not reported

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