Inspection Detail

Inspection: 125500389 - C.A. Rasmussen, Inc.

Inspection Information - Office: American Canyon District Office

Inspection Nr: 125500389

Report ID: 0950615

Date Opened: 09/19/1995

Site Address:
C.A. Rasmussen, Inc.
100 Gary Place
San Rafael, CA 94901

Mailing Address:
2360 Shasta Way, Simi Valley, CA 93065

Union Status: Union

SIC:1611

NAICS: 0

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/21/1995

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 10/30/1996

Related Activity
Type	Activity Nr	Safety	Health
Accident	361320625

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations				2		2
Initial Penalty	$1,500	$0	$0	$335	$0	$1,835
Current Penalty	$0	$0	$0	$935	$0	$935
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	1620 F	09/21/1995	09/21/1995	$335	$335	$0	09/25/1995	F - Formal Settlement
2.	02001	Other	1670 A	09/21/1995	09/21/1995	$600	$1,500	$0	09/25/1995	F - Formal Settlement

Investigation Summary

Investigation Nr: 170380380

Event: 09/16/1995

Carpenter fractures ankle in fall from ladder

Employee #1 was part of carpenter crew placing 8 by 16 ft concrete form sections at night to allow lane closure of a highway so a boom truck could lift and position form sections in order to pour a retaining wall below the highway. Employee #1 was approximately 12 ft above the ground on a Keller 20 ft aluminum extension ladder in nearly new condition, leaning against the form section being installed. A coworker was straddling the top of the form section at the other end, 8 ft away. Another coworker was at the top of the bank at the other end of the 2 by 4 brace Employee #1 was holding. Employee #1 was holding the brace in one hand and his hammer in the other hand. He was preparing to nail the brace to the form section when the panel of the form section shifted toward the ladder and the ladder moved. Employee #1 lost his balance and fell. He sustained a compound fracture to his right ankle and was hospitalized. The ladder did not fall.

Keywords: CONCRETE FORM WORK, FRACTURE, EXTENSION LADDER, CARPENTER, LADDER, CONSTRUCTION, FALL, LOST BALANCE, ANKLE, UNSTABLE POSITION

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	125500389			Hospitalized injury	Fracture	Occupation not reported

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