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Inspection Detail

Inspection: 112221668 - Jfj Construction Inc

Inspection Information - Office: Labor Enforcement Task Force (Letf) Unit - South

 

Inspection Nr: 112221668
Report ID: 0950645
Date Opened: 07/16/1991

Site Address:
Jfj Construction Inc
1975 Grimes Canyon Road
Fillmore, CA 93015

Mailing Address:
195 Dawson Dr., Camarillo, CA 93012

Union Status: Union

SIC:1623

NAICS: 0 


Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 07/17/1991

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 08/13/1991


Related Activity
Type Activity Nr Safety Health
Accident 361329733

Investigation Summary

Investigation Nr: 170152631
Event: 07/08/1991
Employee injured when struck by falling wooden form

Employee #1 was supervising the vertical stacking of a 5,000 lb, 8 ft by 40 ft wooden concrete form. It was temporarily leaning against a structure while the crane needed for the job was moved to avoid power lines. Once the crane had been repositioned, Employee #1 signaled the crane operator to 'pick,' and then climbed onto the form to hook up the pick ring. Employee #1's weight caused the form to fall forward and on top of him. He suffered a broken nose, bruised ribs, a cracked tooth, and a hemorrhage of the left eye. Employee #1 was treated at a local hospital and released.

Keywords: EYE, CONCRETE FORM WORK, FRACTURE, HEMORRHAGE, CONSTRUCTION, NOSE, RIB, STRUCK BY, FALLING OBJECT, UNSTABLE POSITION

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 112221668 Hospitalized injury Other Supervisors; carpenters and related workers
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