Inspection Detail

Inspection: 307162842 - Covi Concrete

Inspection Information - Office: Long Beach District Office

Inspection Nr: 307162842

Report ID: 0950642

Date Opened: 10/04/2004

Site Address:
Covi Concrete
621 E Colorado Bl
Pasadena, CA 91101

Mailing Address:
7621 Reynold Circle, Huntington Beach, CA 92647

Union Status: NonUnion

SIC:1741

NAICS: 238140/Masonry Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 12/01/2004

Planning Guide: Safety-Construction

Emphasis: S:Construction (Cship)

Case Closed: 06/29/2009

Related Activity
Type	Activity Nr	Safety	Health
Accident	101056042

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations				1		1
Initial Penalty	$20,250	$0	$0	$0	$0	$20,250
Current Penalty	$0	$0	$0	$700	$0	$700
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	1670 A	12/01/2004	12/11/2004	$700	$20,250	$0	12/16/2004	F - Formal Settlement

Investigation Summary

Investigation Nr: 201058831

Event: 09/29/2004

Employee injured in fall when raised platform collapses

On September 29, 2004, Employee #1 was preparing a work site at a shopping center for a concrete pour the next day. He was using a 2 ft x 4 ft piece of wood to install an edge board. Employee #1 was bent over, holding a screw gun in one hand and the piece of wood in the other when he lost his balance and fell on a raised platform. The platform collapsed and he fell another 15 ft to the ground. Employee #1 suffered multiple fractures, for which he was hospitalized. The platform was unsecured and did not have railings or toe boards. The job foreman had given Employee #1 permission to work at the site.

Keywords: CONCRETE FORM WORK, GUARDRAIL, UNSECURED, WORK RULES, CONSTRUCTION, FALL, FALL PROTECTION, ELEVATED WORK PLAT, LOST BALANCE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	307162842			Hospitalized injury	Fracture	Construction laborers

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