Inspection Detail

Inspection: 125908384 - Mc Carthy

Inspection Information - Office: Santa Ana District Office

Inspection Nr: 125908384

Report ID: 0950631

Date Opened: 08/25/1997

Site Address:
Mc Carthy
509 N Alcoa Cr #D
Corona, CA 91720

Mailing Address:
, , 00000

Union Status: Union

SIC:1541

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/04/1997

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 06/30/1998

Related Activity
Type	Activity Nr	Safety	Health
Accident	362228611
Accident	362228801
Accident	362228934

Investigation Summary

Investigation Nr: 201140365

Event: 08/19/1997

Employee injured when struck by falling concrete form

At approximately 10:00 a.m. on August 19, 1997, Employee #1 and a coworker were unloading metal concrete beam forms from a flatbed truck. The coworker was operating a forklift, and Employee #1 was standing on the flatbed, guiding it. The forklift was picking up one of the forms when it pushed against the form next to it and the whole stack tipped over. Employee #1 saw this happening and jumped 9 ft off the flatbed. At the same time, three of the forms fell to the ground. One struck Employee #1, causing serious injuries to his right leg. He also sustained a broken left leg in his jump off the truck. Employee #1 was taken to Riverside General Hospital and was later transferred to Western Medical Center in Santa Ana.

Keywords: FRACTURE, UNSECURED, WORK RULES, CONSTRUCTION, INDUSTRIAL TRUCK, OFF LOADING, STRUCK BY, FALLING OBJECT, FLATBED TRUCK, LEG

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	125908384			Hospitalized injury	Fracture	Miscellaneous material moving equipment operators

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