Inspection Detail

Inspection: 307340240 - Impact Demo And Hauling Inc

Inspection Information - Office: Oakland District Office

Inspection Nr: 307340240

Report ID: 0950614

Date Opened: 11/04/2005

Site Address:
Impact Demo And Hauling Inc
699 Bellevue
Oakland, CA 94610

Mailing Address:
5808 El Dorado Ave, El Cerrito, CA 94530

Union Status: NonUnion

SIC:1794

NAICS: 238910/Site Preparation Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 01/24/2006

Emphasis: S:Construction (Cship)

Case Closed: 04/15/2009

Related Activity
Type	Activity Nr	Safety	Health
Accident	361632516

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			3		4
Current Violations				4		4
Initial Penalty	$10,800	$0	$0	$5,520	$0	$16,320
Current Penalty	$0	$0	$0	$1,900	$0	$1,900
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	342 A	01/27/2006	02/14/2006	$1,500	$5,000	$0	02/28/2006	J - ALJ Decision
2.	01002	Other	1509 A	01/27/2006	02/14/2006	$150	$260	$0	02/28/2006	J - ALJ Decision
3.	01003	Other	1509 C	01/27/2006	02/14/2006	$150	$260	$0	02/28/2006	J - ALJ Decision
4.	02001	Other	1541 E	01/27/2006	02/14/2006	$100	$10,800	$0	02/28/2006	J - ALJ Decision

Investigation Summary

Investigation Nr: 201506037

Event: 10/26/2005

Employee Loses Teeth When Struck by Pipe

At approximately 10:43 a.m. on October 26, 2005, Employee #1's supervisor was moving an eight-foot metal pipe with a concrete base, using an excavator. The pipe slipped from the excavator, fell to the ground, and one end of the pipe tilted and struck Employee #1. He sustained injuries to his left cheek and lost six of his teeth from the upper left jaw. Employee #1 was transported to Highland Hospital Oakland, where he was hospitalized for treatment.

Keywords: MOUTH, LACERATION, EXCAVATOR, PIPE, STRUCK BY, FLYING OBJECT

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	307340240			Non Hospitalized injury	Cut/Laceration	Construction laborers

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