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Inspection Detail

Inspection: 120048269 - Sure Forming Systems, Inc.

Inspection Information - Office: Los Angeles District Office

 

Inspection Nr: 120048269
Report ID: 0950641
Date Opened: 01/11/1994

Site Address:
Sure Forming Systems, Inc.
1200 Getty Center Drive
Los Angeles, CA 90049

Mailing Address:
10602 Humbolt St., Los Alamitos, CA 90720

Union Status: Union

SIC:1799

NAICS: 0 

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 06/29/1994

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 05/11/2007

Related Activity
Type Activity Nr Safety Health
Accident 362008807
Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 2 2 8 12
Current Violations 2 2 8 12
Initial Penalty $5,000 $0 $2,000 $3,750 $0 $10,750
Current Penalty $1,250 $0 $0 $1,000 $0 $2,250
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 3410001 A 06/30/1994 07/15/1994 $0 $1,250 $0 07/28/1994 F - Formal Settlement  
2. 01002 Other 14301 A01 06/30/1994 07/15/1994 $0 $500 $0 07/28/1994 F - Formal Settlement  
3. 01003 Other 14301 B 06/30/1994 07/15/1994 $0 $500 $0 07/28/1994 F - Formal Settlement  
4. 01004 Other 14301 C02 06/30/1994 07/15/1994 $0 $500 $0 07/28/1994 F - Formal Settlement  
5. 01005 Other 1513 A 06/30/1994 07/15/1994 $250 $250 $0 07/28/1994 W - Empr Withdrew  
6. 01006 Other 1644 A B 06/30/1994 07/15/1994 $250 $250 $0 07/28/1994 F - Formal Settlement  
7. 01007 Other 1670 I 06/30/1994 07/15/1994 $250 $250 $0 07/28/1994 W - Empr Withdrew  
8. 01008 Other 1676 J 06/30/1994 07/05/1994 $250 $250 $0 07/28/1994 W - Empr Withdrew  
9. 02001 Serious 1621 A 06/30/1994 07/15/1994 $1,250 $1,250 $0 07/28/1994 W - Empr Withdrew  
10. 03001 Serious 1670 C 06/30/1994 07/15/1994 $0 $3,750 $0 07/28/1994 F - Formal Settlement  
11. 04001 Repeat 1509 A 06/30/1994 07/15/1994 $0 $1,000 $0 07/28/1994 F - Formal Settlement  
12. 05001 Repeat 1511 B 06/30/1994 07/15/1994 $0 $1,000 $0 07/28/1994 F - Formal Settlement  

Investigation Summary

Investigation Nr: 170606222
Event: 01/10/1994
Employee injured in fall, unsecured lanyard

At about 10:30 a.m. on January 10, 1994, Employee #1 was installing splice whalers on wall forms on the exterior of a new structure. He was standing on a whaler about nine feet above the work platform that was 13 feet above a concrete deck. He was wearing a safety belt with lanyard. The lanyard was not secured to a substantial member of the structure and of a securely rigged line. Employee #1 fell and hit the top rail of the work platform, he went over that rail and fell to the concrete deck sustaining fractures requiring hospitalization.

Keywords: FRACTURE, FALL, FALL PROTECTION, TIE-OFF

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 120048269 Hospitalized injury Fracture Specified mechanics and repairers
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