Inspection Detail

Inspection: 119747640 - Nmn Consturction Inc.

Inspection Information - Office: Foster City District Office

Inspection Nr: 119747640

Report ID: 0950613

Date Opened: 05/08/1996

Site Address:
Nmn Consturction Inc.
801 So. Airport Blvd.,S.F. Int'L Airport
San Francisco, CA 94128

Mailing Address:
1512 Lima Court, San Jose, CA 95126

Union Status: NonUnion

SIC:7363

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 06/04/1996

Emphasis:

Case Closed: 08/12/1996

Related Activity
Type	Activity Nr	Safety	Health
Accident	362303828

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				1		1
Current Violations				1		1
Initial Penalty	$0	$0	$0	$200	$0	$200
Current Penalty	$0	$0	$0	$200	$0	$200
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	342 A	06/04/1996	06/07/1996	$200	$200	$0		-

Investigation Summary

Investigation Nr: 170378194

Event: 12/05/1995

Employee injured in fall when plywood filler gives way

Employee #1, a laborer, stepped on a piece of plywood that was being used as a filler to span the 2 ft gap between the ends of two deck forms in a poured-in-place concreting job. The 19 ft wide by 60 ft long by 5 ft high deck forms were constructed of steel trusses and topped with plywood. When raised by jack screws, the decking reached a height of 9 ft 8 in. One of the deck forms was on rollers and was still being positioned, so the plywood between it and the other deck form had not been nailed in place. The other end of the filler had not been seated properly and was nearly hanging when Employee #1 stepped on it to bring materials to the deck form that was being rolled in. Employee #1 fell approximately 10 ft and sustained serious injuries.

Keywords: DECKING, CONCRETE FORM WORK, UNSECURED, UNSECURED PANEL, WALK PLATFORM, FALL, WORK SURFACE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	119747640			Hospitalized injury	Fracture	Construction trades, n.e.c.

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