Inspection Detail
Inspection: 313511701 - Jensen Enterprises Inc Dba Jensen Precast
Inspection Information - Office: San Bernardino District Office
Site Address:
Jensen Enterprises Inc Dba Jensen Precast
14221 San Bernardino Ave
Fontana, CA 92335
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:3272
NAICS: 327390/Other Concrete Product Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 06/06/2011
Planning Guide: Safety-Manufacturing
Emphasis:
Case Closed: 05/23/2014
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102615671 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $750 | $0 | $750 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| 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 | 3328 E | 06/06/2011 | 06/09/2011 | $0 | $750 | $0 | 06/14/2011 | F - Formal Settlement |
Investigation Summary
At approximately 5:30 a.m. on December 10, 2010, Employee #1 was engaged in stripping the form walls of concrete. Employee #1 hooked the crane cables to the top eyelet on the form walls. Employee #1 started removing chains, safety pins and bolts from the form walls. While doing so, Employee #1 inadvertently removed the safety pins and chains from below the form wall. As Employee #1 was removing the last top bolt at the northeast corner, the east form wall separated and started falling down, pinning Employee #1 underneath. This accident resulted in serious physical injuries to his lower back and right knee.
Keywords: CHAIN, FRACTURE, WALL, BACK, BOLT, FALL, STRUCK BY, LEG
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 313511701 | Hospitalized injury | Bruise/Contus/Abras | Production helpers |
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