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Inspection Detail
Inspection: 125880245 - The Forman Company
Inspection Information - Office: San Diego District Office
Site Address:
The Forman Company
2123 Demayo Rd
Del Mar, CA 92014
Mailing Address:
8022 Beaver Lake Dr, San Diego, CA 92119
Union Status: NonUnion
SIC:1521
NAICS: 236118/Residential Remodelers
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 05/12/2006
Planning Guide: Health-Construction
Emphasis:
Case Closed: 06/10/2006
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362422701 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $0 | $0 | $0 | $390 | $0 | $390 |
| Current Penalty | $0 | $0 | $0 | $390 | $0 | $390 |
| 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 | 1509 A | 05/12/2006 | 06/14/2006 | $130 | $130 | $0 | - | ||
| 2. | 01002 | Other | 1675 E | 05/12/2006 | 05/25/2006 | $260 | $260 | $0 | - |
Investigation Summary
At approximately 3:14 p.m. on November 21, 2005, Employee #1 was installing 2-ft by 4-ft blocks around a window with a screw gun, while working from an 8-foot ladder. The ladder was placed on a wooden block. The ladder tipped to the left and Employee #1 fell approximately five feet. The paramedics transported employee #1 by ambulance to Scripps La Jolla Hospital in San Diego. Employee #1 was in the hospital for three days for two broken wrists, fractured cheekbone and a laceration his nose. It was determined that the employer did not provide job training and instruction on safely working with ladders to Employee #1.
Keywords: FRACTURE, BLOCKS, CARPENTER, LADDER, CONSTRUCTION, LACERATION, FALL, FALL PROTECTION, HAND TOOL, WRIST
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 125880245 | Hospitalized injury | Fracture | Carpenters |