Inspection Detail

Inspection: 119689966 - R & L Brosamer, Inc

Inspection Information - Office: Fremont District Office

Inspection Nr: 119689966

Report ID: 0950612

Date Opened: 06/18/2001

Site Address:
R & L Brosamer, Inc
San Jose Airport Batch Plant
San Jose, CA 95110

Mailing Address:
Po Box 238, Alamo, CA 94507

Union Status: Union

SIC:1611

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/10/2001

Emphasis: S:Construction (Cship)

Case Closed: 03/29/2005

Related Activity
Type	Activity Nr	Safety	Health
Accident	102341310

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations	1					1
Initial Penalty	$45,000	$0	$0	$0	$0	$45,000
Current Penalty	$5,400	$0	$0	$0	$0	$5,400
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	Contest	Latest Event	Note
1.	01001	Serious	1592 A	11/20/2001	12/07/2001	$0	$22,500	$0	11/29/2001	D - Govt Dismissed	Citation has been deleted.
2.	02001	Serious	1592 E	11/20/2001	12/07/2001	$5,400	$22,500	$0	11/29/2001	F - Formal Settlement

Investigation Summary

Investigation Nr: 202312963

Event: 06/11/2001

Employee Suffers Amputation After Being Run Over

Employee #1 was hammering steel stakes into the ground to brace a slip form (concrete) paver. Employee #1 was struck by a Mack dump truck loaded with concrete. Employee #1 was knocked over and the dump truck ran over his right leg. The operator of the Mack dump truck was backing up without the aid of a signaler or an operable back-up alarm. Employee #1 suffered an amputation and was hospitalized.

Keywords: BACK-UP ALARM, AMPUTATED, SIGNALMAN, CONSTRUCTION, DUMP TRUCK, STRUCK BY, BACKING UP, INATTENTION

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	119689966			Hospitalized injury	Amputation	Construction laborers

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