Inspection Detail

Inspection: 307340901 - Sasha Shamszad

Inspection Information - Office: Oakland District Office

Inspection Nr: 307340901

Report ID: 0950614

Date Opened: 01/05/2006

Site Address:
Sasha Shamszad
2750 Adeline St
Berkeley, CA 94703

Mailing Address:
64 Shattuck Sq, Berkeley, CA 94704

Union Status: NonUnion

SIC:1522

NAICS: 236116/New Multifamily Housing Construction (except Operative Builders)

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 01/30/2006

Emphasis: S:Construction (Cship)

Case Closed: 09/16/2008

Related Activity
Type	Activity Nr	Safety	Health
Accident	361630544

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			3		4
Current Violations	1			2		3
Initial Penalty	$10,800	$0	$0	$5,520	$0	$16,320
Current Penalty	$2,360	$0	$0	$520	$0	$2,880
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	Latest Event	Note
1.	01001	Other	342 A	02/22/2006	03/12/2006	$0	$5,000	$0	I - Informal Settlement	Citation has been deleted.
2.	01002	Other	1509 A	02/22/2006	03/12/2006	$260	$260	$0	I - Informal Settlement
3.	01003	Other	1509 C	02/22/2006	03/12/2006	$260	$260	$0	I - Informal Settlement
4.	02001	Serious	3212 A02	02/22/2006	03/12/2006	$2,360	$10,800	$0	I - Informal Settlement

Investigation Summary

Investigation Nr: 201506243

Event: 12/28/2005

Employee injured in one-story fall through floor opening

On December 28, 2005, as per the instructions of his employer, Employee #1 was manually taking vases from one place to another on the third floor of a building. A coworker, who was on the roof, asked him to get a wooden ladder. Employee #1 was walking toward the ladder when he fell through a floor opening to the second floor. He was transported to Highland Hospital in Oakland, CA, where he was admitted for a fractured right temporal bone and a dislocated right little finger.

Keywords: FRACTURE, HEAD, COVER, BARRIER GUARD, WORK RULES, CONSTRUCTION, FALL, FLOOR OPENING

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	307340901			Hospitalized injury	Fracture	Laborers, except construction

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