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Inspection Detail
Inspection: 120027826 - K. C. Custom Builders
Inspection Information - Office: San Francisco District Office
Site Address:
K. C. Custom Builders
16 Lansing Street
San Francisco, CA 94105
Mailing Address:
172 North Mayfair Ave.,Attn.: Joe Casey, Daly City, CA 94015
Union Status: NonUnion
SIC:1751
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 06/24/1996
Planning Guide: Safety-Construction
Emphasis:
Case Closed: 05/28/1998
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362189086 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 7 | 9 | |||
| Current Violations | 2 | 7 | 9 | |||
| Initial Penalty | $3,250 | $0 | $0 | $500 | $0 | $3,750 |
| Current Penalty | $3,025 | $0 | $0 | $450 | $0 | $3,475 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Other | 3410001 A | 07/12/1996 | 07/17/1996 | $250 | $250 | $0 | 08/28/1996 | F - Formal Settlement | |
| 2. | 01002 | Other | 342 A | 07/12/1996 | 07/17/1996 | $100 | $100 | $0 | 08/28/1996 | F - Formal Settlement | |
| 3. | 01003 | Other | 1509 B | 07/12/1996 | 08/14/1996 | $50 | $50 | $0 | 08/28/1996 | F - Formal Settlement | |
| 4. | 01004 | Other | 1509 C | 07/12/1996 | 07/17/1996 | $0 | $0 | $0 | 08/28/1996 | F - Formal Settlement | |
| 5. | 01005 | Other | 1512 B | 07/12/1996 | 08/14/1996 | $50 | $50 | $0 | 08/28/1996 | F - Formal Settlement | |
| 6. | 01006 | Other | 1675 I | 07/12/1996 | 07/17/1996 | $0 | $50 | $0 | 08/28/1996 | F - Formal Settlement | |
| 7. | 01007 | Other | 3276 A 2 | 07/12/1996 | 07/17/1996 | $0 | $0 | $0 | 08/28/1996 | F - Formal Settlement | |
| 8. | 02001 | Serious | 1644 A 6 | 07/12/1996 | 07/17/1996 | $25 | $250 | $0 | 08/28/1996 | F - Formal Settlement | |
| 9. | 03001 | Serious | 1670 A | 07/12/1996 | 07/17/1996 | $3,000 | $3,000 | $0 | 08/28/1996 | F - Formal Settlement |
Investigation Summary
At approximately 2:12 p.m. on June 19, 1996, Employees #1 and #2 were working about 20 ft above a street. They were standing on beams and joists while waiting for a load of plywood decking to be raised on an extendable boom forklift being operated by their foreman. The forks of the forklift knocked several beams loose, causing both workers to fall. Neither Employee #1 nor Employee #2 was tied off.
Keywords: WORK RULES, STRUCK AGAINST, CONSTRUCTION, FALL, FALL PROTECTION, ELEVATED WORK PLAT, TIE-OFF, WORK SURFACE, AERIAL LIFT, UNSTABLE POSITION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 120027826 | Hospitalized injury | Fracture | Carpenters | ||
| 2 | 120027826 | Hospitalized injury | Fracture | Carpenters |