Inspection Detail

Inspection: 312349707 - Johnson Western Gunite Company

Inspection Information - Office: Fremont District Office

Inspection Nr: 312349707

Report ID: 0950612

Date Opened: 08/22/2008

Site Address:
Johnson Western Gunite Company
1666 South Main St.
Milpitas, CA 95035

Mailing Address:
940 Doolittle Dr., San Leandro, CA 94577

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: 11/17/2008

Emphasis: S:Construction (Cship)

Case Closed: 06/12/2010

Related Activity
Type	Activity Nr	Safety	Health
Accident	102593233

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations				2		2
Initial Penalty	$2,925	$0	$0	$485	$0	$3,410
Current Penalty	$0	$0	$0	$1,000	$0	$1,000
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	1509 C	01/26/2009	03/13/2009	$0	$485	$0	02/13/2009	F - Formal Settlement
2.	02001	Other	1511 B	01/26/2009	02/19/2009	$1,000	$2,925	$0	02/13/2009	F - Formal Settlement

Investigation Summary

Investigation Nr: 202562864

Event: 08/22/2008

Employee Is Injured in Fall on Stairways

At approximately 2:00 p.m. on August 22, 2008, an employee working with concreting company was looking for plywood. He went inside the building under construction and presumed to have fallen on stairways then landed on the second level underground garage below. He suffered head and back injuries. The employee was transported by paramedics to San Jose Regional Medical Center, where he was hospitalized and treated for his injuries.

Keywords: FRACTURE, HEAD, STAIR, BACK, FALL

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	312349707			Hospitalized injury	Fracture	Occupation not reported

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