Inspection Detail

Inspection: 119877256 - Jack Kettering Co

Inspection Information - Office: Santa Ana District Office

Inspection Nr: 119877256

Report ID: 0950631

Date Opened: 01/25/1993

Site Address:
Jack Kettering Co
1802 Santiago Cyn Rd
Orange, CA 92669

Mailing Address:
11700 E 166th St, Artesia, CA 90701

Union Status: Union

SIC:1771

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 02/22/1993

Emphasis:

Case Closed: 09/20/1996

Related Activity
Type	Activity Nr	Safety	Health
Accident	361382237

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			2		3
Current Violations	1			2		3
Initial Penalty	$4,000	$0	$0	$412	$0	$4,412
Current Penalty	$0	$0	$0	$412	$0	$412
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
1.	01001	Other	1698 C	02/26/1993	02/26/1993	$206	$206	$0		-
2.	01002	Other	1698 C	02/26/1993	01/26/1993	$206	$206	$0		-
3.	02001	Serious	1717 C01	02/26/1993	02/26/1993	$0	$4,000	$0	04/07/1993	D - Govt Dismissed

Investigation Summary

Investigation Nr: 170714281

Event: 01/25/1993

Employee injured as falsework collapses

At approximately 12:10 p.m. on January 25, 1993, Employee #1 was working on a concrete water tank, pouring a section of its roof. The falsework collapsed while he and coworkers were finishing the wet concrete. Employee #1 and three coworkers fell with the reinforcement steel and concrete to the bottom of the tank. Employee #1 injured his back and shoulder, which required more than 24 hours of hospitalization. The three coworkers were treated for cuts, abrasions, and bruises and were released for further outpatient medical treatment.

Keywords: CONCRETE FORM WORK, SHOULDER, COLLAPSE, CONSTRUCTION, BACK, LACERATION, ABRASION, FALL, WATER TANK, CONTUSION

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	119877256			Hospitalized injury	Bruise/Contus/Abras	Occupation not reported

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