Inspection Detail
Inspection: 112109053 - Clifford M. Lewis Surveyor, Inc.
Inspection Information - Office: Van Nuys District Office
Site Address:
Clifford M. Lewis Surveyor, Inc.
2411 W. Olive Ave.
Burbank, CA 91504
Mailing Address:
29 Cabrillo Rd., Arcadia, CA 91007
Union Status: Union
SIC:8713
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/26/1990
Emphasis:
Case Closed: 01/22/1991
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361272602 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | 2 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $400 | $0 | $0 | $0 | $0 | $400 |
| Current Penalty | $400 | $0 | $0 | $0 | $0 | $400 |
| 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 A | 11/05/1990 | 11/09/1990 | $0 | $0 | $0 | - | ||
| 2. | 02001 | Serious | 1511 B | 11/05/1990 | 11/09/1990 | $400 | $400 | $0 | - |
Investigation Summary
At approximately 10:15 a.m. on October 3, 1990, Employee #1, a surveyor, and his employer were moving an approximately 900 lb electrical motor control center unit. The unit had been placed on two 4 in. by 6 in. boards, about 30 in. from the edge of the eighth floor of the building. The unit started to tilt and fall over the edge. Employee #1 was trying to push the unit back when both he and the unit fell to the ground. Employee #1 was transported to St. Joseph's Emergency Medical Center, where he died due to massive blunt force trauma.
Keywords: SURVEYOR, WORK RULES, FALL, FALL PROTECTION, OPEN-SIDED FLOOR, UNSTABLE POSITION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 112109053 | Fatality | Other | Surveying and mapping technicians |
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