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Inspection Detail
Inspection: 1275705.015 - Certified Concrete Inc.
Inspection Information - Office: San Diego District Office
Site Address:
Certified Concrete Inc.
625 Broadway
San Diego, CA 92101
Mailing Address:
2317 Auto Park Way, Escondido, CA 92029
Union Status: NonUnion
SIC:
NAICS: 238110/Poured Concrete Foundation and Structure Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 04/25/2018
Emphasis:
Case Closed: 09/24/2018
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1279681 | ||
| Inspection | 1308268 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 5 | 5 | ||||
| Current Violations | 5 | 5 | ||||
| Initial Penalty | $0 | $0 | $0 | $2,425 | $0 | $2,425 |
| Current Penalty | $0 | $0 | $0 | $2,425 | $0 | $2,425 |
| 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) | 04/26/2018 | $485 | $485 | $0 | Z - Issued | |||
| 2. | 01002 | Other | 1510(C) | 04/26/2018 | 06/06/2018 | $365 | $365 | $0 | Z - Issued | ||
| 3. | 01003 | Other | 1952(A) | 04/26/2018 | $605 | $605 | $0 | Z - Issued | |||
| 4. | 01004 | Other | 3276(E) | 04/26/2018 | $485 | $485 | $0 | Z - Issued | |||
| 5. | 01005 | Other | 3276(F) | 04/26/2018 | $485 | $485 | $0 | Z - Issued |
Investigation Summary
At 2:00 p.m. on October 31, 2017, Employee #1, employed by a concrete construction company, was involved in the multiemployer renovation of a 14-story multifamily residential building. He was engaged in concrete form work at an abandoned freight elevator. Employee #1 used a 24-foot extension ladder to access the elevator pit approximately 12 feet below the basement floor, where he was assigned to prep for form work for a new concrete floor. As he descended the extension ladder, his foot slipped, and Employee #1 fell to the pit's floor, a fall height of approximately 6 to 7 feet. His leg caught between rungs, and the ladder fell with him. Emergency services were called, and Employee #1 was transported to the hospital, admitted, and treated for head and leg injuries.
Keywords: Concrete Form Work, Contusion, Descending, Elevator Shaft, Extension Ladder, Fall, Head, Leg, Residential Construction, Slip
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1275705.015 | 41 | M | Hospitalized injury | Construction laborers |