Translate
Inspection Detail
Inspection: 120124870 - Jensen Enterprises Inc Dba Jensen Precast
Inspection Information - Office: San Bernardino District Office
Site Address:
Jensen Enterprises Inc Dba Jensen Precast
14221 San Bernardino Ave
Fontana, CA 92335
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:3272
NAICS: 327390/Other Concrete Product Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 04/27/2007
Emphasis:
Case Closed: 10/07/2008
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102492071 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 1 | 4 | |||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $24,750 | $0 | $0 | $750 | $0 | $25,500 |
| Current Penalty | $0 | $0 | $0 | $1,050 | $0 | $1,050 |
| 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 | 1592 A | 04/27/2007 | 05/02/2007 | $750 | $750 | $0 | 05/02/2007 | W - Empr Withdrew | |
| 2. | 02001 | Other | 3203 A07 C | 04/27/2007 | 05/10/2007 | $300 | $3,375 | $0 | 05/02/2007 | F - Formal Settlement | |
| 3. | 03001 | Serious | 3203 A04 | 04/27/2007 | 05/10/2007 | $0 | $3,375 | $0 | 05/02/2007 | F - Formal Settlement | Citation has been deleted. |
| 4. | 04001 | Serious | 3328 E | 04/27/2007 | 05/10/2007 | $0 | $18,000 | $0 | 05/02/2007 | J - ALJ Decision | Citation has been deleted. |
Investigation Summary
At about 8:00 a.m. on November 7, 2006, Employee #1, a production worker, was performing stripping operations at a plant where precast concrete vaults were manufactured. He and a crane operator were stripping a cured mold form by opening four outer walls and eight interior screws which held knockouts. After this operation, Employee #1 was crawling out from underneath the form when the unsecured north side wall of the form (weighing 250 lbs) fell onto him. He was hospitalized at Arrowhead Regional Medical for fractures of his right hip and shoulder.
Keywords: FRACTURE, STRIPPING MACHINE, SHOULDER, WALL, UNSECURED, STRUCK BY, CONCRETE, HIP
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 120124870 | Hospitalized injury | Fracture | Hand molding, casting, and forming occupations |