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Inspection Detail
Inspection: 307162081 - Ultimate Construction
Inspection Information - Office: Long Beach District Office
Site Address:
Ultimate Construction
128 Oak Knoll Ave
Pasadena, CA 91101
Mailing Address:
8012 Alameda St, Downey, CA 90242
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: 12/06/2004
Planning Guide: Safety-Construction
Emphasis: S:Construction (Cship)
Case Closed: 01/17/2015
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362618902 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 1 | 3 | |||
| Current Violations | 2 | 1 | 3 | |||
| Initial Penalty | $22,050 | $0 | $0 | $450 | $0 | $22,500 |
| Current Penalty | $22,050 | $0 | $0 | $450 | $0 | $22,500 |
| 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 | 1509 A | 12/06/2004 | 12/19/2004 | $450 | $450 | $0 | 01/06/2005 | J - ALJ Decision | |
| 2. | 02001 | Serious | 1620 A | 12/06/2004 | 12/14/2004 | $15,750 | $15,750 | $0 | 01/06/2005 | J - ALJ Decision | |
| 3. | 03001 | Serious | 1645 B | 12/06/2004 | 12/14/2004 | $6,300 | $6,300 | $0 | 01/06/2005 | J - ALJ Decision |
Investigation Summary
At approximately 11:00 a.m. on July 19, 2004, Employee #1 was assigned to work with a carpenter to frame an exterior wall on the east side of the building. At the time of the accident, Employee #1 was passing a 2-in. by 4-in. boards to the carpenter working outside of the second unit from the south wall on the east side of the building. Suddenly, it appears that Employee #1 may have had a dizzy spell and leaned against a figure-four scaffold. Unable to support the weight of the employee, the scaffold gave way, and Employee #1 fell approximately 20 ft to the concrete floor. Employee #1 was hospitalized and died at 8:04 a.m. on July 31, 2004 of his injuries.
Keywords: FRACTURE, HEAD, EQUIPMENT FAILURE, DIZZINESS, FALL, CONCRETE, SCAFFOLD
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 307162081 | Fatality | Fracture | Construction laborers |