Inspection Detail

Inspection: 125522318 - Hilderbrand Roofing Co.

Inspection Information - Office: Foster City District Office

Inspection Nr: 125522318

Report ID: 0950613

Date Opened: 11/19/1999

Site Address:
Hilderbrand Roofing Co.
Cor Willow Rd. & Hamilton Ave.,
Menlo Park, CA 94025

Mailing Address:
P.O.Box 20356, Castrol Valley, CA 94546

Union Status: NonUnion

SIC:1761

NAICS: 0

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 03/15/2000

Emphasis:

Case Closed: 03/31/2000

Related Activity
Type	Activity Nr	Safety	Health
Accident	362301046

Violation Summary
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

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	1644 A05 A	03/17/2000	03/22/2000	$150	$150	$0		-

Investigation Summary

Investigation Nr: 201121993

Event: 11/12/1999

Employee injured in 12 ft fall from scaffold collapse

An employee, the Safety Supervisor on the site, was injured in a scaffold collapse. The employee was inspecting the work of two coworkers on the roof of a future Chevron gas station food mart. He decided to use the two-tiered metal scaffold. This scaffold had been erected and used by the framing and plastering subcontractor. While the employee was on his way down the scaffold, a 20 to 30 ft section of the scaffold collapsed. The employee fell 12 ft to the ground. The scaffold was not properly secured to the structure. He suffered a slight head concussion and some bruises.

Keywords: CONSTRUCTION, SCAFFOLD COLLAPSE, FALL, WORK SURFACE, SCAFFOLD, SCAFFOLDING

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	125522318			Hospitalized injury	Concussion	Supervisors; carpenters and related workers

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