Inspection Detail

Inspection: 310598503 - Etivista Concrete Inc

Inspection Information - Office: San Bernardino District Office

Inspection Nr: 310598503

Report ID: 0950633

Date Opened: 04/30/2007

Site Address:
Etivista Concrete Inc
Vellano Club Dr/Celano Ct
Chino Hills, CA 91709

Mailing Address:
8657 Pecan Ave #110, Rancho Cucamonga, CA 91739

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: 10/03/2007

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 03/24/2010

Related Activity
Type	Activity Nr	Safety	Health
Accident	102494994

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			3		4
Current Violations				3		3
Initial Penalty	$16,200	$0	$0	$5,975	$0	$22,175
Current Penalty	$0	$0	$0	$500	$0	$500
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	Note
1.	01001	Other	342 A	10/03/2007	11/05/2007	$5,000	$5,000	$0	11/05/2007	F - Formal Settlement	Citation has been deleted.
2.	01002	Other	1509 A	10/03/2007	11/05/2007	$0	$325	$0	11/05/2007	F - Formal Settlement
3.	01003	Other	1509 A	10/03/2007	11/05/2007	$0	$650	$0	11/05/2007	F - Formal Settlement
4.	02001	Other	3328 A	10/03/2007	10/16/2007	$500	$16,200	$0	11/05/2007	F - Formal Settlement

Investigation Summary

Investigation Nr: 202446589

Event: 04/11/2007

Employee Amputates Thumb While Using Circular Saw

At approximately 7:20 a.m. on April 11, 2007, Employee #1 was cutting a V-ditch (swale) form out of a 2-in. by 12-in. by 3.5-in. board using a Skilsaw (Model Number HD77M, 7.25-in., 4400 rpm). Employee #1 held the stock in his left hand and the saw in the right hand to make a cut. During cutting, the saw blade jumped and contacted Employee #1's left thumb causing amputation. Employee #1 was hospitalized.

Keywords: KICK BACK, AMPUTATED, CONSTRUCTION, THUMB, CIRCULAR SAW

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	310598503			Hospitalized injury	Amputation	Carpenters

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