Inspection Detail

Case Status: CLOSED

Inspection: 1269027.015 - Smi Architectural Millwork, Inc

Inspection Information - Office: Santa Ana District Office

Inspection Nr: 1269027.015

Report ID: 0950631

Date Opened: 10/10/2017

Site Address:
Smi Architectural Millwork, Inc
21070 Pacific City Dr.
Huntington Beach, CA 92648

Mailing Address:
2116 W. Chestnut Ave., Santa Ana, CA 92703

Union Status: Union

SIC:

NAICS: 238350/Finish Carpentry Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 12/26/2017

Emphasis:

Case Closed: 01/22/2018

Related Activity
Type	Activity Nr	Safety
Accident	1271202
Inspection	1269606	Yes
Inspection	1269714	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				2		2
Current Violations				2		2
Initial Penalty	$0	$0	$0	$550	$0	$550
Current Penalty	$0	$0	$0	$550	$0	$550
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(C)	12/28/2017		$275	$275	$0		Z - Issued
2.	01002	Other	3395(I)	12/28/2017		$275	$275	$0		Z - Issued

Investigation Summary

Investigation Nr: 101682.015

Event: 10/03/2017

Employee using outhouse is injured in collapse

At 12:30 p.m. on October 3, 2017, Employee #1, a supervisor employed by a carpentry company, was on the site of a multifamily building construction project. He was using the portable outhouse when a forklift driven by another company's employee struck scaffolding. The scaffolding collapsed onto the outhouse, and the outhouse collapsed. Employee #1 sustained contusions to his back and knee. He did not require hospitalization. The subsequent investigation determined that the supervisor was a bystander and not directly involved in the site work activity.

Keywords: Aerial Lift, Building, Collision, Contusion, Driver, Falling Object, Residential Construction, Scaffold, Scaffold Collapse, Struck By

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1269027.015	50	M	Non Hospitalized injury		Cabinet makers and bench carpenters

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