Inspection Detail

Inspection: 314990912 - Clint Butler Construction

Inspection Information - Office: Modesto District Office

Inspection Nr: 314990912

Report ID: 0950624

Date Opened: 03/17/2011

Site Address:
Clint Butler Construction
18667 North Jacob Black Road
Lodi, CA 95240

Mailing Address:
800 Shastina Drive, Weed, CA 96094

Union Status: NonUnion

SIC:1541

NAICS: 236210/Industrial Building Construction

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 04/07/2011

Emphasis: S:Construction (Cship)

Case Closed: 04/13/2011

Related Activity
Type	Activity Nr	Safety	Health
Accident	102722220

Investigation Summary

Investigation Nr: 202521092

Event: 02/21/2011

Employee Is Injured in Fall from Elevation

On February 21, 2011, Employee #1 an iron worker was working from a platform that was elevated approximately 15 feet up by the forks of a Gradall. Employee #1 was reaching over the side of the platform to reach the fascia board, lost his balance and fell over the side of the platform. Employee #1 was wearing his Personal Fall Arrest system but was not tied off to the platform. Employee # 1 sustained multiple fractures to his body. He was transported to the hospital, where he was hospitalized after undergoing surgery.

Keywords: FRACTURE, FALL, FALL PROTECTION, ELBOW, LOST BALANCE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	314990912			Hospitalized injury	Other	Construction laborers

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