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Inspection Detail
Inspection: 119627800 - W.R. Forde Associates
Inspection Information - Office: American Canyon District Office
Site Address:
W.R. Forde Associates
761 Hillary Drive
Tiburon, CA 94920
Mailing Address:
984 Hensley Street, Richmond, CA 94801
Union Status: Union
SIC:1799
NAICS: 238910/Site Preparation Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 07/31/2003
Planning Guide: Safety-Construction
Emphasis: S:Construction (Cship)
Case Closed: 04/24/2006
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361600091 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $300 | $0 | $300 |
| Current Penalty | $0 | $0 | $0 | $300 | $0 | $300 |
| 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 | 4999 C02 | 08/07/2003 | 08/12/2003 | $300 | $300 | $0 | - |
Investigation Summary
At approximate 10:00 a.m. on July 18, 2003, Employee #1 was gathering and stacking brush next to a chipper, to be used to chip up the brush. An excavator was loading debris removed from the hillside and the parking lot of a church expansion project into a dump truck to be offhauled from the jobsite. The excavator was a Komatsu PC 200LC boom-type excavator. The employee had his back to the excavator. The operator of the excavator picked up an aluminum pipe light pole, about 30 ft. long, from the ground to put it in the truck. After picking it up, when he closed the claw onto the pole it swung in the bucket and hit Employee #1 in the back. Employee #1 sustained three broken ribs and was hospitalized.
Keywords: FRACTURE, LIGHTING FIXTURE, RIB, EXCAVATOR, STRUCK BY
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 119627800 | Hospitalized injury | Fracture | Construction laborers |