Translate
Inspection Detail
Inspection: 1290314.015 - Jensen Enterprises, Inc.
Inspection Information - Office: Van Nuys District Office
Site Address:
Jensen Enterprises, Inc.
Heller Circle & Plum Canyon Intersection
Santa Clarita, CA 91350
Mailing Address:
14221 San Bernardino Ave., Fontana, CA 92335
Union Status: NonUnion
SIC:
NAICS: 327390/Other Concrete Product Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 04/24/2018
Emphasis:
Case Closed: 10/03/2019
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1283505 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $300 | $0 | $300 |
| Current Penalty | $0 | $0 | $0 | $300 | $0 | $300 |
| 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 | 3210(B) | 04/24/2018 | 05/29/2018 | $300 | $300 | $0 | 05/02/2018 | O - Administrative Law Judge Order |
Investigation Summary
At 10:51 a.m. on October 26, 2017, an employee was installing a concrete utility vault into an existing excavation. The employee completed the task and was packing up his equipment to leave the site. While strapping down several outrigger pads on top of an elevated work platform for the QMC Boom Crane Truck, the employee slipped and fell, bounced off the ground, and fell into the space between the concrete vault wall and the excavation wall. The employee suffered contusions to the head and right knee. The employee was hospitalized 24 hours after the accident.
Keywords: Boom Truck, Contusion, Elevated Work Plat, Fall, Head, Knee, Slip
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1290314.015 | 54 | M | Non Hospitalized injury | Crane Operator |