Inspection Detail

Inspection: 120344692 - Advanced Interior Systems

Inspection Information - Office: Sacramento District Office

Inspection Nr: 120344692

Report ID: 0950621

Date Opened: 05/12/2004

Site Address:
Advanced Interior Systems
801 El Margarita Rd.
Yuba City, CA 95993

Mailing Address:
2354 Bountiful Way, Shingle Springs, CA 95682

Union Status: Union

SIC:1751

NAICS: 238130/Framing Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/16/2004

Emphasis: S:Construction (Cship)

Case Closed: 09/28/2004

Related Activity
Type	Activity Nr	Safety	Health
Accident	362340549

Investigation Summary

Investigation Nr: 201175668

Event: 05/11/2004

Employee Is Injured in Fall from Scaffolding

On May 11, 2004, Employee #1, maintenance personnel, was standing on a 3-ft metal sheet rocker bench (scaffolding) cleaning the door jams. The doorway connected the band room to building F on the construction site of a high school. He had constructed the scaffolding on a concrete platform on the band room location. The concrete platform was 30-in.-high with steps located on each of its sides. The scaffolding tipped off the concrete platform, causing him to fall to the concrete floor. The impact of the fall caused fractures to his elbow and injuries to his head. He was transferred to a medical center and was hospitalized for medical attention and postoperative treatment, lasting two days.

Keywords: FRACTURE, HEAD, STRUCK AGAINST, FALL, ELBOW, SCAFFOLDING, UNSTABLE POSITION

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	120344692			Hospitalized injury	Fracture	Plasterers

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