Inspection Detail

Inspection: 300863560 - National Rv Inc.

Inspection Information - Office: San Bernardino District Office

Inspection Nr: 300863560

Report ID: 0950633

Date Opened: 09/22/2003

Site Address:
National Rv Inc.
3411 N. Perris Blvd
Perris, CA 92335

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:3716

NAICS: 336213/Motor Home Manufacturing

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 02/27/2004

Emphasis:

Case Closed: 07/15/2008

Related Activity
Type	Activity Nr	Safety	Health
Accident	101151884

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations	1			1		2
Initial Penalty	$18,000	$0	$0	$185	$0	$18,185
Current Penalty	$2,700	$0	$0	$150	$0	$2,850
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	3400 C	02/27/2004	03/03/2004	$150	$185	$0	04/29/2004	W - Empr Withdrew
2.	02001	Serious	5042 A03	02/27/2004	03/06/2004	$2,700	$18,000	$0	04/29/2004	W - Empr Withdrew

Investigation Summary

Investigation Nr: 201158821

Event: 09/03/2003

Employee is injured by hoisting equipment

On September 3, 2003, Employee #1 was engaging the controls of an overhead hoisting device to lift a completed component off an assembly table. The component was connected to the hoisting device with two hooks equipped with retaining clips inserted into eyes secured to the completed component. During the lift, one of the hooks rotated out of the component eye and the end caught Employee #1 in the neck, pinning him to a wall. He was hospitalized for several fractured cervical vertebrae.

Keywords: FRACTURE, HOISTING MECHANISM, EQUIPMENT OPERATOR, HOIST, NECK, STRUCK BY, FROZEN, VERTEBRA

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	300863560			Hospitalized injury	Freezing/Frost Bite	Assemblers

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