Inspection Detail

Case Status: CLOSED

Inspection: 1535621.015 - Champion Modular, Inc.

Inspection Information - Office: Erie Area Office

Inspection Nr: 1535621.015

Report ID: 0336000

Date Opened: 06/09/2021

Site Address:
Champion Modular, Inc.
451 Southern Ave.
Strattanville, PA 16258

Mailing Address:
451 Southern Ave. Po Box 269, Strattanville, PA 16258

Union Status: NonUnion

SIC:

NAICS: 321992/Prefabricated Wood Building Manufacturing

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 11/23/2021

Emphasis:

Case Closed: 02/23/2022

Related Activity
Type	Activity Nr	Safety	Health
Referral	1772698	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	3					3
Current Violations	1			1		2
Initial Penalty	$13,653	$0	$0	$0	$0	$13,653
Current Penalty	$8,900	$0	$0	$0	$0	$8,900
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	Latest Event
1.	01001A	Serious	19260451 F07	11/24/2021	03/11/2022	$8,900	$0	$0	I - Informal Settlement
2.	01001B	Serious	19260452 W05	11/24/2021	03/11/2022	$0	$0	$0	I - Informal Settlement
3.	01001C	Serious	19260454 B	11/24/2021	03/11/2022	$0	$0	$0	I - Informal Settlement
4.	02001	Other	19260451 F03	11/24/2021	03/11/2022	$0	$13,653	$0	I - Informal Settlement

Investigation Summary

Investigation Nr: 136206.015

Event: 05/28/2021

Employee incurs contusion in lower back while attempting to

At 10:00 a.m. on May 28, 2021, Employee #1 was attempting to right an engineered scaffold that had tipped over. As the employee and others tried to reposition it, the scaffold fell farther to the ground instead of resting on the catwalk. Employee #1 sustained a contusion to the lower back and was hospitalized for treatment.

Keywords: Back, Catwalk, Contusion, Scaffold, Scaffold Collapse, Scaffolding, Tips Over

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1535621.015	47	M	Hospitalized injury		Occupation Not Listed

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