Inspection Detail

Inspection: 125569350 - Eric Stark Interiors

Inspection Information - Office: Fremont District Office

Inspection Nr: 125569350

Report ID: 0950612

Date Opened: 01/13/2004

Site Address:
Eric Stark Interiors
6910 Brem Lane
Gilroy, CA 95020

Mailing Address:
2284 Paragon Dr., San Jose, CA 95131

Union Status: Union

SIC:1751

NAICS: 238350/Finish Carpentry Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 03/22/2004

Emphasis: S:Construction (Cship)

Case Closed: 04/15/2005

Related Activity
Type	Activity Nr	Safety	Health
Accident	102417755

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations				1		1
Initial Penalty	$14,400	$0	$0	$225	$0	$14,625
Current Penalty	$0	$0	$0	$225	$0	$225
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	1509 A	03/25/2004	04/11/2004	$225	$225	$0		-
2.	02001	Other	1644 A06	03/25/2004	05/04/2004	$0	$14,400	$0		A - Amendment	Citation has been deleted.

Investigation Summary

Investigation Nr: 202313821

Event: 12/22/2003

Employee injures back in fall from scaffold

At approximately 11:00 a.m. on December 22, 2003, Employee #1, a carpenter, was installing metal arching on the front exterior of a retail store under construction from a scaffold. He was standing on 2-inch by 14-inch scaffold planks and was clamping one end while a coworker was clamping the other end. As he stepped on one of the planks, the planks shifted and he fell approximately 10 feet to the ground. He was hospitalized with a back injury.

Keywords: FRACTURE, CARPENTER, CONSTRUCTION, PLANK, BACK, FALL, FALL PROTECTION, LOST BALANCE, WORK SURFACE, SCAFFOLD

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	125569350			Hospitalized injury	Fracture	Carpenters

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