Inspection Detail

Case Status: CLOSED

Inspection: 1304378.015 - Pendarvis Manufacturing, Inc.

Inspection Information - Office: Santa Ana District Office

Inspection Nr: 1304378.015

Report ID: 0950631

Date Opened: 03/27/2018

Site Address:
Pendarvis Manufacturing, Inc.
1808 N. American St.
Anaheim, CA 92801

Mailing Address:
1808 N. American St., Anaheim, CA 92801

Union Status: NonUnion

SIC:

NAICS: 332710/Machine Shops

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 03/27/2018

Emphasis:

Case Closed: 04/18/2022

Related Activity
Type	Activity Nr	Safety	Health
Accident	1310719

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2			1		3
Current Violations	2			1		3
Initial Penalty	$20,700	$0	$0	$335	$0	$21,035
Current Penalty	$15,300	$0	$0	$75	$0	$15,375
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
1.	01001	Other	3203(A)	07/03/2018	07/30/2018	$75	$335	$0	09/05/2018	O - Administrative Law Judge Order
2.	02001	Serious	4184(B)	07/03/2018	07/30/2018	$2,700	$8,100	$0	09/05/2018	O - Administrative Law Judge Order
3.	03001	Serious	4319(A)	07/03/2018		$12,600	$12,600	$0	09/05/2018	O - Administrative Law Judge Order

Investigation Summary

Investigation Nr: 106823.015

Event: 02/14/2018

Employee is injured when struck in forehead by flying debris

At 12:30 p.m. on February 14, 2018, an employee was using a lathe when a piece of material was ejected from the rotating chuck. The flying object struck the employee in the forehead, resulting in him sustaining a laceration to the area and a concussion. The employee was hospitalized.

Keywords: Concussion, Flying Object, Forehead, Lathe, Struck By

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1304378.015	78	M	Hospitalized injury		Machine operators, not specified

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