Inspection Detail

Inspection: 312682925 - Raymond San Diego Inc

Inspection Information - Office: San Diego District Office

Inspection Nr: 312682925

Report ID: 0950632

Date Opened: 06/14/2010

Site Address:
Raymond San Diego Inc
1123 Island Ave
San Diego, CA 92101

Mailing Address:
520 W Walnut Ave, Orange, CA 92868

Union Status: Union

SIC:1742

NAICS: 238310/Drywall and Insulation Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/16/2010

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 10/01/2010

Related Activity
Type	Activity Nr	Safety	Health
Accident	101461325

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				1		1
Current Violations
Initial Penalty	$0	$0	$0	$560	$0	$560
Current Penalty	$0	$0	$0	$0	$0	$0
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 A04	09/16/2010	10/19/2010	$0	$560	$0		I - Informal Settlement	Citation has been deleted.

Investigation Summary

Investigation Nr: 201075298

Event: 05/22/2010

Employee falls and breaks elbow

On May 22, 2010, Employee #1, a plastering person of Raymond San Diego Inc., was using a baker's scaffold to complete sanding of the overhead access panel on the 4th floor men's restroom. He stepped down and walked away from the scaffold carrying the mud pan on one hand and the putty knife on the other. As he took couple of steps, he stepped in to a 4 inch diameter by 1.5 inch deep drain hole on the concrete floor. He lost his balance and fell. Employee #1 sustained serious injuries to his left elbow, shattering the bones.

Keywords: FALL, ELBOW, SCAFFOLD

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	312682925			Hospitalized injury	Fracture	Construction laborers

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