Inspection Detail

Inspection: 125969758 - Jensen Enterprises Inc Dba Jensen Precast

Inspection Information - Office: San Bernardino District Office

Inspection Nr: 125969758

Report ID: 0950633

Date Opened: 12/06/2001

Site Address:
Jensen Enterprises Inc Dba Jensen Precast
14221 San Bernardino Ave
Fontana, CA 92335

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:3272

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 03/18/2002

Emphasis:

Case Closed: 11/05/2002

Related Activity
Type	Activity Nr	Safety	Health
Accident	362370058

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				2		2
Current Violations				2		2
Initial Penalty	$0	$0	$0	$750	$0	$750
Current Penalty	$0	$0	$0	$450	$0	$450
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	3203 A02	03/18/2002	04/01/2002	$300	$375	$0		I - Informal Settlement
2.	01002	Other	3210 C	03/18/2002	04/01/2002	$150	$375	$0		I - Informal Settlement

Investigation Summary

Investigation Nr: 201155538

Event: 10/17/2001

Employee Sustains Multiple Fractures in Fall

At approximately 3:30 p.m. on October 17, 2001, Employee #1 was standing on a work platform, which was attached to the mold frame, about 2 feet above the ground level in Department Number 10, Station-3. He was hooking up the lifting eyes on JS1500 mold. The mold wall opened to the floor, and he fell, hitting the metal core, resulting in multiple fractures to his ribs and back. He was taken to Arrowhead Regional Medical Center, where he was hospitalized for four days.

Keywords: FRACTURE, BACK, RIB, CATWALK, FALL, FLOOR OPENING, WORK PLATFORM

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	125969758			Hospitalized injury	Fracture	Hand molders and shapers, except jewelers

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