Inspection Detail

Inspection: 125534818 - Norman W. Harmon Dba Nw Harmon Concrete

Inspection Information - Office: American Canyon District Office

Inspection Nr: 125534818

Report ID: 0950615

Date Opened: 05/05/2006

Site Address:
Norman W. Harmon Dba Nw Harmon Concrete
Bell Rd & Windsor River Rd
Windsor, CA 95492

Mailing Address:
P.O.Box 750445, Petaluma, CA 94975

Union Status: NonUnion

SIC:1771

NAICS: 238110/Poured Concrete Foundation and Structure Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/05/2006

Planning Guide: Safety-Construction

Emphasis: S:Construction (Cship)

Case Closed: 01/15/2008

Related Activity
Type	Activity Nr	Safety	Health
Accident	101021194

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	3			6		9
Current Violations	3			6		9
Initial Penalty	$14,735	$0	$0	$1,575	$0	$16,310
Current Penalty	$14,735	$0	$0	$1,575	$0	$16,310
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	1509 A	10/13/2006	10/31/2006	$350	$350	$0	-
2.	01002	Other	1509 B	10/13/2006	10/31/2006	$350	$350	$0	-
3.	01003	Other	1509 E	10/13/2006	10/31/2006	$175	$175	$0	-
4.	01004	Other	1512 B	10/13/2006	10/31/2006	$175	$175	$0	-
5.	01005	Other	3660 A	10/13/2006	10/31/2006	$350	$350	$0	-
6.	01006	Other	3664 A	10/13/2006	10/31/2006	$175	$175	$0	-
7.	02001	Serious	3650 S01	10/13/2006	10/18/2006	$10,800	$10,800	$0	-
8.	03001	Serious	3650 S26	10/13/2006	10/18/2006	$2,360	$2,360	$0	-
9.	04001	Serious	3650 S27	10/13/2006	10/18/2006	$1,575	$1,575	$0	-

Investigation Summary

Investigation Nr: 201020815

Event: 05/03/2006

Employee Is Injured When Struck by Load of Lumber

At approximately 8:15 a.m. on May 3, 2006, Employee #1 was working at a commercial building construction site. He was assisting a forklift operator unloading lumber from the forklift to a laydown area. While Employee #1 was placing a pair of boards on the ground as a base for the lumber, the operator continued to maneuver the forklift into unloading position with the forks raised. When the forklift tilted forward, the lumber fell off the forks and buried Employee #1. He was hospitalized for fractures of his right femur and two ribs, a dislocation of his left hip, and a laceration of his right lip.

Keywords: FRACTURE, CONSTRUCTION, INDUSTRIAL TRUCK, LACERATION, LUMBER, DISLOCATED, RIB, OFF LOADING, HIP, LEG

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	125534818			Hospitalized injury	Fracture	Construction laborers

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