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Inspection Detail
Inspection: 126150168 - Structural Shotcrete Systems Inc
Inspection Information - Office: Los Angeles District Office
Site Address:
Structural Shotcrete Systems Inc
201 S Olive Street
Los Angeles, CA 90012
Mailing Address:
12645 Clark Street, Santa Fe Srings, CA 90670
Union Status: Union
SIC:1771
NAICS: 238990/All Other Specialty Trade Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 11/28/2005
Planning Guide: Safety-Construction
Emphasis: S:Construction (Cship)
Case Closed: 07/10/2008
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101162220 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| 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 | 11/28/2005 | 12/01/2005 | $0 | $0 | $0 | - |
Investigation Summary
At 2:20 p.m. on June 3, 2005, Employee #1, with Structural Shotcrete Systems, was standing on the planks of a short scaffold applying Shotcrete to a wall. A load of metal clamps used for form works was being transported overhead on a job-made wooden pallet. This pallet was constructed using 4-ft by 8-ft by 1-in.-thick plywood with four pieces of 4-in by 4-in. lumber nailed underneath. As the load passed over Employee #1, the plywood bent in the middle and a piece of lumber fell on him. Employee #1 was transported to California Medical Hospital, where he was treated for a concussion.
Keywords: HEAD, SUSPENDED LOAD, LUMBER, STRUCK BY, CONCUSSION, FALLING OBJECT, SCAFFOLD
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 126150168 | Non Hospitalized injury | Concussion | Brickmasons and stonemasons |