Inspection Detail
Inspection: 1404973.015 - Berkeley Cement Inc.
Inspection Information - Office: American Canyon District Office
Site Address:
Berkeley Cement Inc.
300 Davis St
Santa Rosa, CA 95401
Mailing Address:
1200 6th Street, Berkeley, CA 94710
Union Status: Union
SIC:
NAICS: 238110/Poured Concrete Foundation and Structure Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 11/22/2019
Emphasis:
Case Closed: 12/27/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1460170 | ||
| Inspection | 1405034 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | 2 | |||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $12,600 | $0 | $0 | $700 | $0 | $13,300 |
| Current Penalty | $0 | $0 | $0 | $12,600 | $0 | $12,600 |
| 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 | 1637(K)(1) | 11/22/2019 | $0 | $700 | $0 | 01/09/2020 | O - Administrative Law Judge Order | Citation has been deleted. | |
| 2. | 02001 | Other | 3328(E) | 11/22/2019 | $12,600 | $12,600 | $0 | 01/09/2020 | O - Administrative Law Judge Order |
Investigation Summary
At 1:35 p.m. on May 29, 2019, Employee #1 and Coworkers #1 and #2, employed by a cement construction company, were working at the construction site for a new hotel. They were removing the Pro-Shore system, which was used to create formwork for the cement poured to create the second floor above. The three employees were removing the joist and main beams of the Pro-Shore system in various bays under the poured concrete. Coworker #1, working from a forklift, was going from bay to bay and loosening the main beams by hitting the star nut, the piece that supports the beams, and then removing the joist and beam and handing them to Employee #1 and Coworker #2 on ground level. Coworker #1, seeing that something wasn't right, told the other employees to stand back, at which time the bay collapsed. The main beam swung out and struck Employee #1 in the face and shoulder, and Employee #1 fell to the ground and lost consciousness. Employee #1 was transported to the hospital, where he was admitted for treatment of a fractured face, fractured left shoulder, and head injuries.
Keywords: Blunt force trauma, Cementing, Concrete Form Work, Construction, Dismantling, Face, Fall, Fracture, Head, Joist, Scissor lift, Shoulder, Steel Beam, Steel Erection, Struck By, Structural Collapse, Unconsciousness
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1404973.015 | 36 | M | Hospitalized injury | Carpenter apprentices |
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