Inspection Detail

Inspection: 310093257 - Disney Construction Inc.

Inspection Information - Office: Foster City District Office

Investigation Summary

At approximately 4:00 p.m. on December 17, 2007, Employee #1 and a coworker were engaged in concrete form work at a shopping center in Pacifica, CA. They were on a Form Traveler, standing on a concrete form and holding the spreader bar, a round metal pipe approximately 30 ft long and 5 in. in diameter. Employee #1 was cutting the pipe braces to set them on the forms for the Form Traveler. When he cut the wire and held the full weight of the heavy pipe, he lost his balance and fell on the same level, landing on his left side on the wooden beam. He sustained fractured ribs and injured his shoulder. Employee #1 later stated that he was well-trained and that it was an accidental fall.

Keywords: CONCRETE FORM WORK, FRACTURE, SHOULDER, CONSTRUCTION, RIB, FALL, ELEVATED WORK PLAT, LOST BALANCE