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Inspection Detail

Case Status: CLOSED

Inspection: 1404973.015 - Berkeley Cement Inc.

Inspection Information - Office: American Canyon District Office

 

Inspection Nr: 1404973.015
Report ID: 0950615
Date Opened: 05/31/2019

Site Address:
Berkeley Cement Inc.
300 Davis St
Santa Rosa, CA 95401

Mailing Address:
1200 6th Street, Berkeley, CA 94710

Union Status: Union

SIC:

NAICS: 238110/Poured Concrete Foundation and Structure Contractors


Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 11/22/2019

Emphasis:

Case Closed: 12/27/2021


Related Activity
Type Activity Nr Safety Health
Accident 1460170
Inspection 1405034 Yes
Case Status: CLOSED
Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 1 1 2
Current Violations 1 1
Initial Penalty $12,600 $0 $0 $700 $0 $13,300
Current Penalty $0 $0 $0 $12,600 $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 Other 1637(K)(1) 11/22/2019 $0 $700 $0 01/09/2020 O - Administrative Law Judge Order Citation has been deleted.
2. 02001 Other 3328(E) 11/22/2019 $12,600 $12,600 $0 01/09/2020 O - Administrative Law Judge Order  

Investigation Summary

Investigation Nr: 116725.015
Event: 05/29/2019
Employee incurs multiple injuries when struck by collapsing

At 1:35 p.m. on May 29, 2019, Employee #1 and Coworkers #1 and #2, employed by a cement construction company, were working at the construction site for a new hotel. They were removing the Pro-Shore system, which was used to create formwork for the cement poured to create the second floor above. The three employees were removing the joist and main beams of the Pro-Shore system in various bays under the poured concrete. Coworker #1, working from a forklift, was going from bay to bay and loosening the main beams by hitting the star nut, the piece that supports the beams, and then removing the joist and beam and handing them to Employee #1 and Coworker #2 on ground level. Coworker #1, seeing that something wasn't right, told the other employees to stand back, at which time the bay collapsed. The main beam swung out and struck Employee #1 in the face and shoulder, and Employee #1 fell to the ground and lost consciousness. Employee #1 was transported to the hospital, where he was admitted for treatment of a fractured face, fractured left shoulder, and head injuries.

Keywords: Blunt force trauma, Cementing, Concrete Form Work, Construction, Dismantling, Face, Fall, Fracture, Head, Joist, Scissor lift, Shoulder, Steel Beam, Steel Erection, Struck By, Structural Collapse, Unconsciousness

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 1404973.015 36 M Hospitalized injury Carpenter apprentices
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