Inspection Detail
Inspection: 112071501 - Sure Forming Systems, Inc.
Inspection Information - Office: Los Angeles District Office
Site Address:
Sure Forming Systems, Inc.
1200 Getty Center Drive
Los Angeles, CA 90049
Mailing Address:
10602 Humbolt St., Los Alamitos, CA 90720
Union Status: Union
SIC:1799
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 07/08/1992
Planning Guide: Safety-Construction
Emphasis:
Case Closed: 08/21/1992
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361335441 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 2 | 2 | ||||
| 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 | 1511 B | 07/08/1992 | 08/04/1992 | $0 | $0 | $0 | - | ||
| 2. | 01002 | Other | 1509 A | 07/08/1992 | 08/04/1992 | $0 | $0 | $0 | - |
Investigation Summary
Employee #1 was working with a crew placing wood floor forms and supports for concrete floors in a parking structure seven floors under the ground. Manlift service runs from the ground to the lower level P-7. The crew was working on level P-6 and Employee #1 was placing coil rods over the concrete beams' support forms when stripping. He looked into the manlift shaft to locate the center of a concrete beam and the descending manlift struck Employee #1 on the head and jaw.
Keywords: CONCRETE FORM WORK, FRACTURE, HEAD, CONSTRUCTION, NECK, STRUCK BY, ELEVATOR, FACE, SPRAIN, ELEVATOR SHAFT
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 112071501 | Non Hospitalized injury | Fracture | Carpenters |
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