Inspection Detail

Inspection: 120178744 - Custom Fab

Inspection Information - Office: Sacramento District Office

Inspection Nr: 120178744

Report ID: 0950621

Date Opened: 07/10/1995

Site Address:
Custom Fab
7923 E Stockton Blvd.
Sacramento, CA 95823

Mailing Address:
3765 Cincinnati Ave., Rocklin, CA 95765

Union Status: NonUnion

SIC:3441

NAICS: 0

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 12/08/1995

Emphasis:

Case Closed: 03/18/1996

Related Activity
Type	Activity Nr	Safety	Health
Accident	361508278

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				2		2
Current Violations				2		2
Initial Penalty	$0	$0	$0	$450	$0	$450
Current Penalty	$0	$0	$0	$450	$0	$450
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	Other	1515 A01	01/10/1996	07/13/1995	$150	$150	$0		-
2.	01002	Other	3646 A03	01/10/1996	07/10/1995	$300	$300	$0		-

Investigation Summary

Investigation Nr: 170617799

Event: 06/28/1995

Employee injured jumping from overturned scissor lift

Employee #1 was working from an upright 3 ft by 8 ft SL-20 scissor lift called a "slim," serial #1692, equipment #49247. His employer had been contracted to install joists in a concrete tilt-up building. Employee #1 was setting angle iron in the joists at the southeastern section of the building with the lift elevated 18 ft. He backed up the lift, dropping one wheel into a 24 in. square by 7 in. deep block-out. The lift overturned and Employee #1 jumped 10 ft to the concrete slab floor. He fractured his foot and was hospitalized.

Keywords: FRACTURE, WORK RULES, FLOOR OPENING, AERIAL LIFT, BACKING UP, FOOT, INATTENTION, OVERTURN

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	120178744			Hospitalized injury	Fracture	Welders and cutters

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