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Inspection Detail
Inspection: 300821550 - Ameron International Corporation
Inspection Information - Office: Modesto District Office
Site Address:
Ameron International Corporation
10100 West Linne Rd
Tracy, CA 95377
Mailing Address:
, , 00000
Union Status: Union
SIC:3272
NAICS: 327332/Concrete Pipe Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 03/14/2006
Emphasis:
Case Closed: 04/13/2007
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101101889 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $4,050 | $0 | $0 | $0 | $0 | $4,050 |
| Current Penalty | $0 | $0 | $0 | $300 | $0 | $300 |
| 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 | 4999 A | 03/15/2006 | 04/01/2006 | $300 | $4,050 | $0 | 04/13/2006 | W - Empr Withdrew |
Investigation Summary
On September 14, 2005, Employee #1 was working on top of a 66 in. by 20 ft form. Employee #2 operating a lattice boom rail crane was delivering concrete to the top of the form and Employee #1 on top of the form would shovel the concrete down into the sides. While delivering the concrete, the lattice collapsed over the top of the forms. Employee #1 on top the form dove down inside the form but was struck by the lattice. The employee sustained serious injuries and was hospitalized.
Keywords: COLLAPSE, STRUCK BY, CONCRETE, CRANE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 300821550 | Hospitalized injury | Fracture | Laborers, except construction |