Inspection Detail

Inspection: 120312517 - K.C. Equipment, Inc.

Inspection Information - Office: Van Nuys District Office

Inspection Nr: 120312517

Report ID: 0950643

Date Opened: 04/18/2002

Site Address:
K.C. Equipment, Inc.
13557 Laguna Vista Ct.
El Cajon, CA 92021

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:1629

NAICS: 0

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/30/2002

Planning Guide: Safety-Construction

Emphasis: S:Construction (Cship)

Case Closed: 11/28/2006

Related Activity
Type	Activity Nr	Safety	Health
Accident	362518649

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				3		3
Current Violations				3		3
Initial Penalty	$0	$0	$0	$875	$0	$875
Current Penalty	$0	$0	$0	$875	$0	$875
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	10/02/2002	11/04/2002	$175	$175	$0	-
2.	01002	Other	1509 A	10/02/2002	11/04/2002	$350	$350	$0	-
3.	01003	Other	3702 R05	10/02/2002	11/04/2002	$350	$350	$0	-

Investigation Summary

Investigation Nr: 201114204

Event: 04/03/2002

Employee Injured In Fall From Truck

At approximately 9:30 a.m. on April 3, 2002, Employee #1 was putting asphalt on a roadway. When employee #1 finished cleaning his tools with diesel oil he climbed on the back fender bumper of the pick up truck vehicle to go the next section. Employee #1 fell backward from the pick up truck when the vehicle moved forward. Employee #1's head landed on the asphalt ground and he became unconscious. Employee #1 suffered a fractured nose and paralysis to left hand and foot. Employee #1 was hospitalized.

Keywords: HEAD, FALL, CONCUSSION, PICKUP TRUCK, ASPHALT

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	120312517			Hospitalized injury	Concussion	Construction laborers

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