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Inspection Detail
Inspection: 119877256 - Jack Kettering Co
Inspection Information - Office: Santa Ana District Office
Site Address:
Jack Kettering Co
1802 Santiago Cyn Rd
Orange, CA 92669
Mailing Address:
11700 E 166th St, Artesia, CA 90701
Union Status: Union
SIC:1771
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 02/22/1993
Emphasis:
Case Closed: 09/20/1996
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361382237 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 2 | 3 | |||
| Current Violations | 1 | 2 | 3 | |||
| Initial Penalty | $4,000 | $0 | $0 | $412 | $0 | $4,412 |
| Current Penalty | $0 | $0 | $0 | $412 | $0 | $412 |
| 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 | 1698 C | 02/26/1993 | 02/26/1993 | $206 | $206 | $0 | - | ||
| 2. | 01002 | Other | 1698 C | 02/26/1993 | 01/26/1993 | $206 | $206 | $0 | - | ||
| 3. | 02001 | Serious | 1717 C01 | 02/26/1993 | 02/26/1993 | $0 | $4,000 | $0 | 04/07/1993 | D - Govt Dismissed |
Investigation Summary
At approximately 12:10 p.m. on January 25, 1993, Employee #1 was working on a concrete water tank, pouring a section of its roof. The falsework collapsed while he and coworkers were finishing the wet concrete. Employee #1 and three coworkers fell with the reinforcement steel and concrete to the bottom of the tank. Employee #1 injured his back and shoulder, which required more than 24 hours of hospitalization. The three coworkers were treated for cuts, abrasions, and bruises and were released for further outpatient medical treatment.
Keywords: CONCRETE FORM WORK, SHOULDER, COLLAPSE, CONSTRUCTION, BACK, LACERATION, ABRASION, FALL, WATER TANK, CONTUSION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 119877256 | Hospitalized injury | Bruise/Contus/Abras | Occupation not reported |