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Inspection Detail
Inspection: 301118568 - Palomar Foam Co
Inspection Information - Office: San Diego District Office
Site Address:
Palomar Foam Co
Lot 17, Via Corte Amelia
San Ysidro, CA 92173
Mailing Address:
181 Pawneey St #B, San Marcos, CA 92069
Union Status: NonUnion
SIC:1742
NAICS: 238310/Drywall and Insulation Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 02/03/2004
Emphasis: S:Construction (Cship)
Case Closed: 03/19/2009
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362419202 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 5 | 6 | |||
| Current Violations | 1 | 5 | 6 | |||
| Initial Penalty | $12,600 | $0 | $0 | $665 | $0 | $13,265 |
| Current Penalty | $10,800 | $0 | $0 | $665 | $0 | $11,465 |
| 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 | 14300029 A | 02/04/2004 | 03/11/2004 | $225 | $225 | $0 | - | ||
| 2. | 01002 | Other | 1509 A | 02/04/2004 | 03/11/2004 | $110 | $110 | $0 | - | ||
| 3. | 01003 | Other | 1509 B | 02/04/2004 | 03/11/2004 | $110 | $110 | $0 | - | ||
| 4. | 01004 | Other | 1509 E | 02/04/2004 | 03/11/2004 | $110 | $110 | $0 | - | ||
| 5. | 01005 | Other | 1512 C01 | 02/04/2004 | 03/11/2004 | $110 | $110 | $0 | - | ||
| 6. | 02001 | Serious | 1637 C | 02/02/2004 | 02/05/2004 | $10,800 | $12,600 | $0 | 03/01/2004 | J - ALJ Decision |
Investigation Summary
On September 19, 2003, Employee #1, a supervisor and foreman with the Palomar Foam Company, was on an approximately 10 ft 6 in. tall scaffold, removing tape and inspecting work that had been previously finished at a single-family home under construction. He was moving from one scaffolding bay to another when the scaffolding collapsed and he fell to the ground, landing on the fallen scaffold materials. Employee #1 was impaled by a metal guardrail, which entered the left side of his stomach and exited on the left side of his chest. He was transported to the hospital, where he was admitted for treatment. The second scaffolding bay had been erected in front of a garage, and someone had removed the scaffold's structural braces to get inside the garage. The lack of structural support caused the scaffold to collapse when Employee #1 put his weight on it.
Keywords: ABDOMEN, IMPALED, UNSECURED, WORK RULES, CONSTRUCTION, SCAFFOLD COLLAPSE, FALL, BRACING, SCAFFOLD, SCAFFOLDING
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 301118568 | Hospitalized injury | Puncture | Supervisors; carpenters and related workers |