Inspection Detail

Inspection: 125758201 - Cal-Trans

Inspection Information - Office: American Canyon District Office

Inspection Nr: 125758201

Report ID: 0950622

Date Opened: 02/11/2005

Site Address:
Cal-Trans
Highway 37 And Broadway
Vallejo, CA 94590

Mailing Address:
1700 Marine World Parkway, Vallejo, CA 94590

Union Status: Union

SIC:9621

NAICS: 926120/Regulation and Administration of Transportation Programs

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: StateGovt

Safety/Health: Safety

Close Conference: 03/11/2005

Emphasis: S:Construction (Cship)

Case Closed: 04/05/2005

Related Activity
Type	Activity Nr	Safety	Health
Accident	362327892

Investigation Summary

Investigation Nr: 201487378

Event: 01/13/2005

Employee Is Injured in Fall from Plank Across False-Work

On January 13, 2005, Employee #1 was stepping onto a 10-in.-wide plank across false-work during surveying activities. After losing his balance, he fell 6 ft 11 in. onto a bridge soffit under construction. Employee #1 was hospitalized for fractures of his right leg.

Keywords: SURVEYOR, FRACTURE, WALKING ON PLANK, PLANK, WALKING SURFACE, UNSTABLE SURFACE, FALL, FALL PROTECTION, WORK SURFACE, LEG

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	125758201			Hospitalized injury	Fracture	Engineers, n.e.c.

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