Inspection Detail

Inspection: 126150168 - Structural Shotcrete Systems Inc

Inspection Information - Office: Los Angeles District Office

Inspection Nr: 126150168

Report ID: 0950641

Date Opened: 06/07/2005

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

Related Activity
Type	Activity Nr	Safety	Health
Accident	101162220

Violation Summary
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

Violation Items
#	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

Investigation Nr: 201166972

Event: 06/03/2005

Employee Sustains Concussion When Struck by Lumber

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

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	126150168			Non Hospitalized injury	Concussion	Brickmasons and stonemasons

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