Inspection Detail

Inspection: 112071501 - Sure Forming Systems, Inc.

Inspection Information - Office: Los Angeles District Office

Inspection Nr: 112071501

Report ID: 0950641

Date Opened: 06/08/1992

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

Related Activity
Type	Activity Nr	Safety	Health
Accident	361335441

Violation Summary
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

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	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

Investigation Nr: 170158851

Event: 05/04/1992

Employee struck by descending manlift

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

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	112071501			Non Hospitalized injury	Fracture	Carpenters

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