Inspection Detail

Case Status: CLOSED

Inspection: 1363967.015 - Kodiak Concepts, Inc.

Inspection Information - Office: San Bernardino District Office

Inspection Nr: 1363967.015

Report ID: 0950633

Date Opened: 12/04/2018

Site Address:
Kodiak Concepts, Inc.
12690 Day Street
Moreno Valley, CA 92555

Mailing Address:
Po Box 80128, Rancho Santa Margarita, CA 92688

Union Status: NonUnion

SIC:

NAICS: 238310/Drywall and Insulation Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 05/23/2019

Emphasis:

Case Closed: 07/13/2022

Related Activity
Type	Activity Nr	Safety	Health
Accident	1403809

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations	1					1
Initial Penalty	$15,750	$0	$0	$0	$0	$15,750
Current Penalty	$12,600	$0	$0	$0	$0	$12,600
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	Serious	1675(C)	05/23/2019		$12,600	$15,750	$0	06/04/2019	C - Contested

Investigation Summary

Investigation Nr: 111509.015

Event: 11/26/2018

Employee falls off scaffold ladder and receives spinal fract

At 6:45 a.m. on November 26, 2018, an employee was climbing on a ladder attached to scaffolding on the fifth floor to ascend to the sixth floor while carrying a five-gallon bucket that contained the employee's tools. Since the employee was carrying the bucket, he was unable to maintain three points of contact on the ladder and at some point, lost his grip and fell approximately fifteen feet. The employee received multiple fractures and contusions to the spine and was hospitalized.

Keywords: Ascending, Climbing on Ladder, Contusion, Fall, Fracture, Ladder, Scaffold, Spine, Vertebra

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1363967.015	49	M	Hospitalized injury		Plasterers

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