Inspection Detail

Inspection: 300827771 - Archie Floyd'S Roadrunner Pump Service

Inspection Information - Office: Van Nuys District Office

Inspection Nr: 300827771

Report ID: 0950643

Date Opened: 08/04/2004

Site Address:
Archie Floyd'S Roadrunner Pump Service
12724 Pallet Mesa Road
Juniper Hills, CA 93553

Mailing Address:
Po Box 1052, Pearblossom, CA 93553

Union Status: NonUnion

SIC:1781

NAICS: 237110/Water and Sewer Line and Related Structures Construction

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 01/04/2005

Emphasis: S:Construction (Cship)

Case Closed: 07/03/2006

Related Activity
Type	Activity Nr	Safety	Health
Accident	362521932

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				2		2
Current Violations				2		2
Initial Penalty	$0	$0	$0	$455	$0	$455
Current Penalty	$0	$0	$0	$455	$0	$455
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citation Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Other	3203 A	01/05/2005	01/22/2005	$195	$195	$0		-
2.	01002	Other	5045 A	01/05/2005	01/22/2005	$260	$260	$0		-

Investigation Summary

Investigation Nr: 201117819

Event: 07/06/2004

Employee amputates fingers while performing well repairs

At approximately 8:10 a.m. on July 6, 2004, Employee #1, a 22-year-old laborer, and a coworker were using a truck mounted hoist to pull piping and a pump from a well in order to replace a pump. A synthetic coated wire rope, intended to secure bicycles, was used as a sling. As they were extracting the pipe and pump, the pump shifted, and the makeshift sling broke. The tips of Employee #1's middle and ring fingers on his left hand were amputated. The employer was a pump and pipeline service contractor that installs and replaces water wells and related equipment. Employee #1 had been employed by this contractor for 3 months and performing the duties of a customer service representative, which included pump replacement. A detailed investigation was conducted, and Employee #1 and the coworker were interviewed. The investigation concluded that a violation of California Code of Regulation, Title 8 Section 5045(a) had occurred. As a result, the Division issued general citation for California Code of Regulation, Title 8 Section 5045(a) due to lack of employer knowledge.

Keywords: RIGGING, AMPUTATED, REPAIR, FINGER, WORK RULES, WELL, SLING, PUMP

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	300827771			Non Hospitalized injury	Amputation	Laborers, except construction

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