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Inspection Detail
Inspection: 310818968 - Sa & Mh Johnson Inc. Dba Alpine Materials
Inspection Information - Office: San Diego District Office
Site Address:
Sa & Mh Johnson Inc. Dba Alpine Materials
1117 Tavern St
Alpine, CA 91901
Mailing Address:
3547 E. Victoria Drive, Alpine, CA 91901
Union Status: NonUnion
SIC:5211
NAICS: 444190/Other Building Material Dealers
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 01/15/2009
Emphasis:
Case Closed: 02/25/2009
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101074060 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $0 | $0 | $0 | $260 | $0 | $260 |
| Current Penalty | $0 | $0 | $0 | $260 | $0 | $260 |
| 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 | 3203 A | 01/15/2009 | 02/19/2009 | $130 | $130 | $0 | - | ||
| 2. | 01002 | Other | 6151 C01 | 01/15/2009 | 02/19/2009 | $130 | $130 | $0 | - |
Investigation Summary
At approximately 8:34 a.m. on October 1, 2008, Employee #1 was clearing trash from around pallets stacked with concrete blocks. While bending over, Employee #1 was struck on the head by an unknown quantity of concrete blocks that fell off a pallet. Employee #1 suffered a concussion and loss of consciousness. Employee #1 was hospitalized for over 24 hours for observation only and did not require treatment for injuries sustained as a result of the accident.
Keywords: HEAD, UNCONSCIOUSNESS, CLEANING, PALLET, STRUCK BY, CONCUSSION, CONCRETE BLOCK, FALLING OBJECT
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 310818968 | Hospitalized injury | Concussion | Laborers, except construction |