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Inspection Detail
Inspection: 305353641 - Pacific Stone Design Inc
Inspection Information - Office: Santa Ana District Office
Site Address:
Pacific Stone Design Inc
23221 Pradera Rd
Coto De Caza, CA 92679
Mailing Address:
1201 E. Waycom Ave, Santa Ana, CA 92705
Union Status: NonUnion
SIC:1741
NAICS: 238140/Masonry Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 09/22/2004
Emphasis: S:Construction (Cship)
Case Closed: 09/13/2010
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362472813 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 5 | 5 | ||||
| Current Violations | 5 | 5 | ||||
| Initial Penalty | $0 | $0 | $0 | $6,200 | $0 | $6,200 |
| Current Penalty | $0 | $0 | $0 | $6,200 | $0 | $6,200 |
| 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 | 342 A | 09/24/2004 | 11/14/2004 | $5,000 | $5,000 | $0 | 12/03/2004 | F - Formal Settlement | |
| 2. | 01002 | Other | 1509 A | 09/24/2004 | 10/17/2004 | $300 | $300 | $0 | 12/03/2004 | F - Formal Settlement | |
| 3. | 01003 | Other | 1509 B | 09/24/2004 | 10/17/2004 | $300 | $300 | $0 | 12/03/2004 | F - Formal Settlement | |
| 4. | 01004 | Other | 1509 C | 09/24/2004 | 10/17/2004 | $300 | $300 | $0 | 12/03/2004 | F - Formal Settlement | |
| 5. | 01005 | Other | 1509 E | 09/24/2004 | 10/17/2004 | $300 | $300 | $0 | 12/03/2004 | F - Formal Settlement |
Investigation Summary
On March 31, 2004, Employee #1 was in the process of cutting a piece of 1 in. by 6 in. lumber for making a concrete form. His employer is engaged in the installation of ornamental and decorative stone and concrete work for commercial and residential buildings. As part of Employee #1's normal tasks, he was using a Skil saw, Model HD77M, serial number HG-183513. Somehow, Employee #1's left thumb came in contact with the rotating blade of the saw. At the time of the inspection, this saw was found to be in good condition and was properly guarded. Employee #1 was working alone, and there were no other eye witnesses to this accident. Employee #1 amputated his left thumb at the distal joint, which was reattached surgically, and he was hospitalized for 3 days.
Keywords: CONCRETE FORM WORK, AMPUTATED, CONSTRUCTION, THUMB, CIRCULAR SAW
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 305353641 | Hospitalized injury | Amputation | Brickmasons and stonemasons |