Inspection Detail

Inspection: 120318324 - T.X.I. Custom Materials

Inspection Information - Office: Van Nuys District Office

Inspection Nr: 120318324

Report ID: 0950643

Date Opened: 06/18/2004

Site Address:
T.X.I. Custom Materials
17410 E. Lockwood Valley Road
Frazier Park, CA 93225

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:3275

NAICS: 327420/Gypsum Product Manufacturing

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/26/2004

Emphasis:

Case Closed: 07/08/2006

Related Activity
Type	Activity Nr	Safety	Health
Accident	362512022

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				1		1
Current Violations				1		1
Initial Penalty	$0	$0	$0	$305	$0	$305
Current Penalty	$0	$0	$0	$305	$0	$305
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	3231 C02	10/27/2004	11/22/2004	$305	$305	$0		-

Investigation Summary

Investigation Nr: 201117710

Event: 05/22/2004

Employee is injured after falli from steps

On May 22, 2004, an employee was working on the third shift at the raw plant. He went up a stairway, 7-in. for the rise, and 6.75 in. for the run of each step, to check the level of materials in a silo. While walking down the stair, the employee felt a sharp pain in his jaw due to a fractured jaw, not work related and was prior to the accident. He bent down and pulled his hand away from the stairway handrails to grab his jaw. The employee lost his balance, fell forward, and tumbled down the stairway. As a result of the accident, the employee suffered a broken right leg. The employee was taken to Henry Mayo Hospital in Valencia and was hospitalized for 2 weeks.

Keywords: FRACTURE, STAIR, FALL, LOST BALANCE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	120318324			Hospitalized injury	Fracture	Mixing and blending machine operators

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