Inspection Detail

Inspection: 310819321 - Single Eagle Dba Concrete Contractors Interstate

Inspection Information - Office: San Diego District Office

Inspection Nr: 310819321

Report ID: 0950632

Date Opened: 12/03/2008

Site Address:
Single Eagle Dba Concrete Contractors Interstate
9th Ave & D St Vantage Project
San Diego, CA 92101

Mailing Address:
12599 Stotler Court, Poway, CA 92064

Union Status: NonUnion

SIC:1771

NAICS: 238110/Poured Concrete Foundation and Structure Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 04/08/2009

Emphasis:

Case Closed: 01/26/2010

Related Activity
Type	Activity Nr	Safety	Health
Accident	101074615

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				1		1
Current Violations				1		1
Initial Penalty	$0	$0	$0	$600	$0	$600
Current Penalty	$0	$0	$0	$300	$0	$300
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	3203 A06	04/08/2009	05/11/2009	$300	$600	$0	05/15/2009	F - Formal Settlement

Investigation Summary

Investigation Nr: 201073418

Event: 11/07/2008

Employee Is Knocked Down and Covered by Wet Cement

At approximately 10:30 a.m. on November 7, 2008, Employee #1 was working at a worksite for concrete company. Concrete was being poured into curb forms. The concrete was being supplied to the work location by a concrete bucket supported by a tower crane. A concrete hopper/funnel was attached below the concrete bucket's gate, which directed the wet concrete into a 6-in. diameter flexible hose that was 38-in. long. The employee was directing the 6-in. hose into the forms positioning the wet cement. The hopper/funnel broke free from its support device, and wet cement knocked down the employee and covered him. Employee #1 suffered unspecified injuries to his back and tailbone and was hospitalized.

Keywords: CEMENTING, BACK, STRUCK BY

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	310819321			Hospitalized injury	Bruise/Contus/Abras	Occupation not reported

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