Inspection Detail
Inspection: 125497933 - Mjm Builders, Inc.
Inspection Information - Office: San Francisco District Office
Site Address:
Mjm Builders, Inc.
3376 Clay Street
San Francisco, CA 94118
Mailing Address:
201 Santa Clara Way, San Mateo, CA 94403
Union Status: NonUnion
SIC:1541
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 08/25/2000
Planning Guide: Safety-Construction
Emphasis:
Case Closed: 01/14/2008
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361571508 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $150 | $0 | $150 |
| Current Penalty | $0 | $0 | $0 | $150 | $0 | $150 |
| 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 | 1541 J01 | 09/11/2000 | 09/14/2000 | $150 | $150 | $0 | - |
Investigation Summary
At approximately 11:30 a.m. on May 12, 2000, Employee #1, a laborer for MJM Builders, Inc., was using 3 by 12 lumber to construct a form in front of a 9 ft tall, vertically cut excavation. As he worked, he felt a few small rocks hitting his hardhat, looked up, and saw a part of the top of the excavation wall falling in on him. He turned and tried to run, but the material fell on his back and trapped him. Employee #1 suffered a fractured his left ankle and was transported by ambulance to San Francisco General Hospital.
Keywords: CONCRETE FORM WORK, EXCAVATION, FRACTURE, UNSECURED, WORK RULES, STRUCK BY, UNSTABLE SOIL, SLOPING, FALLING OBJECT, ANKLE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 125497933 | Hospitalized injury | Fracture | Construction laborers |
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