Inspection Detail

Inspection: 119631174 - H S Trefethen

Inspection Information - Office: American Canyon District Office

Inspection Nr: 119631174

Report ID: 0950615

Date Opened: 03/16/2004

Site Address:
H S Trefethen
4548 Pine Flat Rd.
Geyserville, CA 95441

Mailing Address:
P.O. Box 764, Healdsburg, CA 95448

Union Status: NonUnion

SIC:1794

NAICS: 238910/Site Preparation Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 06/15/2004

Planning Guide: Safety-Construction

Emphasis: S:Construction (Cship)

Case Closed: 12/30/2019

Related Activity
Type	Activity Nr	Safety	Health
Accident	361603590

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				4		4
Current Violations				4		4
Initial Penalty	$0	$0	$0	$1,300	$0	$1,300
Current Penalty	$0	$0	$0	$1,300	$0	$1,300
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.	01001	Other	342 A	09/03/2004	09/09/2004	$1,000	$1,000	$0	-
2.	01002	Other	1509 A	09/03/2004	10/22/2004	$50	$50	$0	-
3.	01003	Other	1509 B	09/03/2004	10/22/2004	$50	$50	$0	-
4.	01004	Other	1509 A	09/03/2004	10/22/2004	$200	$200	$0	-

Investigation Summary

Investigation Nr: 170839146

Event: 02/12/2004

Employee's Skull Is Fractured in Fall from Excavator

At approximately 12:00 noon on February 2, 2004, Employee #1 was moving dirt with a Scoopmobile, center-pivot earthmover, Serial Number LD 7A. He was driving the excavator down a hill when he lost control and the vehicle flipped over. Employee #1 fell from the vehicle fracturing his skull. The employee was hospitalized.

Keywords: FRACTURE, GRADER, ROLL-OVER, CONSTRUCTION, EARTHMOVING EQUIP, SEAT BELT, SKULL, EXCAVATOR, FALL, CONCUSSION

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	119631174			Hospitalized injury	Concussion	Helpers, extractive occupations

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