Inspection Detail

Inspection: 306435793 - Jacobsen Construction Company, Inc.

Inspection Information - Office: Boise Area Office

Inspection Nr: 306435793

Report ID: 1032500

Date Opened: 11/20/2003

Site Address:
Jacobsen Construction Company, Inc.
525 S Center St
Rexburg, ID 83440

Mailing Address:
3131 West 2210 South, Salt Lake City, UT 84127

Union Status: NonUnion

SIC:1542

NAICS: 236220/Commercial and Institutional Building Construction

Inspection Type: Referral

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 11/20/2003

Emphasis: L:Fall

Case Closed: 02/19/2004

Related Activity
Type	Activity Nr	Safety	Health
Referral	200238947	Yes

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations	1			1		2
Initial Penalty	$4,500	$0	$0	$0	$0	$4,500
Current Penalty	$2,000	$0	$0	$0	$0	$2,000
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	Note
1.	01001A	Serious	19260502 I03	01/14/2004	01/27/2004	$0	$4,500	$0	I - Informal Settlement	Citation has been deleted.
2.	01001B	Serious	19260502 I04	01/14/2004	01/27/2004	$2,000	$0	$0	I - Informal Settlement
3.	02001	Other	19260153 O	01/14/2004	01/27/2004	$0	$0	$0	I - Informal Settlement

Investigation Summary

Investigation Nr: 200231439

Event: 11/19/2003

Employee sustains head fracture in floor opening fall

On November 19, 2003, Employee #1, a construction laborer with Jacobsen Construction Company, Inc., Rexburg , ID, was removing blanketing that covered a previously identified floor opening, when he fell through a second floor opening over 15 ft to concrete, sustaining a head fracture.

Keywords: FRACTURE, HEAD, INSTALLING, POURING, CONSTRUCTION, FALL, FLOOR OPENING, TIE-OFF

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	306435793			Hospitalized injury	Fracture	Construction laborers

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