Inspection Detail
Inspection: 125760512 - Cloverleaf Construction Company, Inc.
Inspection Information - Office: American Canyon District Office
Site Address:
Cloverleaf Construction Company, Inc.
2912 Simba Place
Brentwood, CA 94513
Mailing Address:
16120 Caputo Drive, Ste. F, Morgan Hill, CA 95037
Union Status: NonUnion
SIC:1751
NAICS: 238130/Framing Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/21/2005
Emphasis: S:Construction (Cship)
Case Closed: 11/28/2006
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101481364 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $4,725 | $0 | $4,725 |
| Current Penalty | $0 | $0 | $0 | $700 | $0 | $700 |
| 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 | 1675 J | 11/03/2005 | 12/12/2005 | $700 | $4,725 | $0 | 11/23/2005 | F - Formal Settlement |
Investigation Summary
Employee #1 was on a 24-foot extension ladder using L-90 hardware clips to connect a truss to a wall on the interior of a residence. The ladder was standing on the concrete floor and slid from under Employee #1. Employee #1 fell 10 feet from the ladder onto 2 in. by 4 in. boards. He was admitted to Sutter Delta Memorial Hospital in Antioch, CA for treatment of stomach injuries and a right kidney contusion.
Keywords: CARPENTER, LADDER, STRUCK AGAINST, CONSTRUCTION, LUMBER, FALL, KIDNEY, WORK SURFACE, CONTUSION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 125760512 | Hospitalized injury | Bruise/Contus/Abras | Construction laborers |
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