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Inspection Detail
Inspection: 1535621.015 - Champion Modular, Inc.
Inspection Information - Office: Erie Area Office
Site Address:
Champion Modular, Inc.
451 Southern Ave.
Strattanville, PA 16258
Mailing Address:
451 Southern Ave. Po Box 269, Strattanville, PA 16258
Union Status: NonUnion
SIC:
NAICS: 321992/Prefabricated Wood Building Manufacturing
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 11/23/2021
Emphasis:
Case Closed: 02/23/2022
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1772698 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $13,653 | $0 | $0 | $0 | $0 | $13,653 |
| Current Penalty | $8,900 | $0 | $0 | $0 | $0 | $8,900 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citation Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001A | Serious | 19260451 F07 | 11/24/2021 | 03/11/2022 | $8,900 | $0 | $0 | I - Informal Settlement | ||
| 2. | 01001B | Serious | 19260452 W05 | 11/24/2021 | 03/11/2022 | $0 | $0 | $0 | I - Informal Settlement | ||
| 3. | 01001C | Serious | 19260454 B | 11/24/2021 | 03/11/2022 | $0 | $0 | $0 | I - Informal Settlement | ||
| 4. | 02001 | Other | 19260451 F03 | 11/24/2021 | 03/11/2022 | $0 | $13,653 | $0 | I - Informal Settlement |
Investigation Summary
At 10:00 a.m. on May 28, 2021, Employee #1 was attempting to right an engineered scaffold that had tipped over. As the employee and others tried to reposition it, the scaffold fell farther to the ground instead of resting on the catwalk. Employee #1 sustained a contusion to the lower back and was hospitalized for treatment.
Keywords: Back, Catwalk, Contusion, Scaffold, Scaffold Collapse, Scaffolding, Tips Over
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1535621.015 | 47 | M | Hospitalized injury | Occupation Not Listed |