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Inspection Detail
Inspection: 1341975.015 - Af Gomes, Inc.
Inspection Information - Office: Fremont District Office
Site Address:
Af Gomes, Inc.
10380 Perimeter Rd.
Cupertino, CA 95014
Mailing Address:
901 Commercial St. Ste. 140, San Jose, CA 95112
Union Status: NonUnion
SIC:
NAICS: 238310/Drywall and Insulation Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 02/14/2019
Emphasis:
Case Closed: 07/29/2019
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1375196 | ||
| Inspection | 1341993 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | 2 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $14,400 | $0 | $0 | $410 | $0 | $14,810 |
| Current Penalty | $14,400 | $0 | $0 | $410 | $0 | $14,810 |
| 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 | 1509(A) | 02/15/2019 | $410 | $410 | $0 | Z - Issued | |||
| 2. | 02001 | Serious | 1637(C) | 02/15/2019 | $14,400 | $14,400 | $0 | 03/06/2019 | F - Formal Settlement |
Investigation Summary
At 2:00 p.m. on August 23, 2018, Employee #1 and #2 were performing a plastering operation, while working from an elevated wooden scaffold, approximately 12-feet, in elevation and hanging core board inside an air shaft. As Employee #1 and #2 were working, the screws securing the support bracing to the walls failed causing the scaffold and Employee #1 and #2 to fall from the scaffold platform, landing approximately 12 feet, below on the ground level. Employee #1 sustained bilateral leg fractures, was hospitalized, and underwent surgery. Employee #2 suffered a broken left toe, left shoulder contusion, and a left ankle sprain, following the incident.
Keywords: Air Shaft, Ankle, Board, Contusion, Elevated Work Platform, Fall, Fracture, Frame, Leg, Plaster, Scaffold, Shoulder, Sprain, Support Posts, Toe, Unsecured, Wall
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1341975.015 | 33 | M | Hospitalized injury | Drywall installers | |
| 2 | 1341975.015 | 30 | M | Non Hospitalized injury | Construction laborers |