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Inspection Detail

Inspection: 301118568 - Palomar Foam Co

Inspection Information - Office: San Diego District Office

 

Inspection Nr: 301118568
Report ID: 0950632
Date Opened: 10/08/2003

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

Related Activity
Type Activity Nr Safety Health
Accident 362419202
Violation Summary
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

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 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

Investigation Nr: 201066669
Event: 09/19/2003
Employee injured in fall when scaffold collapses

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

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 301118568 Hospitalized injury Puncture Supervisors; carpenters and related workers
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