Inspection Detail

Inspection: 316214212 - Cg Scaffolding

Inspection Information - Office: San Bernardino District Office

Inspection Nr: 316214212

Report ID: 0950633

Date Opened: 11/01/2013

Site Address:
Cg Scaffolding
34899 Kooden Road
Winchester, CA 92596

Mailing Address:
501 N Smith Avenue #104, Corona, CA 92880

Union Status: NonUnion

SIC:1799

NAICS: 238290/Other Building Equipment Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 03/20/2014

Emphasis:

Case Closed: 07/14/2015

Related Activity
Type	Activity Nr	Safety	Health
Accident	102869757

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations				2		2
Initial Penalty	$12,600	$0	$0	$450	$0	$13,050
Current Penalty	$0	$0	$0	$7,450	$0	$7,450
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	1511 B	03/20/2014	04/03/2014	$450	$450	$0	03/28/2014	F - Formal Settlement
2.	02001	Other	17160002 D	03/20/2014	04/03/2014	$7,000	$12,600	$0	03/28/2014	F - Formal Settlement

Investigation Summary

Investigation Nr: 202718664

Event: 09/28/2013

Employee Sustains Fracture in Fall as a Wall Collapses

At about 8:00 a.m. on September 28, 2013, Employee #1, with Cg Scaffolding, was installing guardrails on a bracket/stacker scaffold on an architectural wall in the front of a two-story house. As Employee #1 was installing the last section of the guardrails, the architectural wall gave way. Employee #1 fell, with the wall, 16 feet and six ins. on to a concrete floor. Employee #1 was hospitalized for five weeks with an unspecified fracture.

Keywords: FRACTURE, GUARDRAIL, WALL, COLLAPSE, FALL, SCAFFOLD

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	316214212			Hospitalized injury	Fracture	Occupation not reported

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