Inspection Detail

Inspection: 308185537 - S.J.L. Construction Of Arizona, Llc

Inspection Information - Office: Arizona Division Of Occupational Safety And Health (Adosh)

Inspection Nr: 308185537

Report ID: 0950411

Date Opened: 09/09/2004

Site Address:
S.J.L. Construction Of Arizona, Llc
State Route 89a & 11th St
Cottonwood, AZ 86326

Mailing Address:
240 S Jennifer Ln Suite #105, Cottonwood, AZ 86326

Union Status: NonUnion

SIC:1623

NAICS: 237110/Water and Sewer Line and Related Structures Construction

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 11/16/2004

Emphasis: N:Trench

Case Closed: 06/03/2016

Related Activity
Type	Activity Nr	Safety	Health
Accident	101993434
Referral	201985660	Yes

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2			1		3
Current Violations	1			2		3
Initial Penalty	$2,500	$0	$0	$0	$0	$2,500
Current Penalty	$1,250	$0	$0	$0	$0	$1,250
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	Latest Event
1.	01001	Serious	19260550 A16	12/08/2004	12/11/2004	$1,250	$1,250	$0	-
2.	01002	Other	19260652 C02	12/08/2004	12/11/2004	$0	$1,250	$0	I - Informal Settlement
3.	02001	Other	19260550 A08	12/08/2004	12/11/2004	$0	$0	$0	-

Investigation Summary

Investigation Nr: 201991312

Event: 09/09/2004

Hoist Strikes And Injures Employee

Employee #1 was injured when struck by a man-made hoist which failed at the bolt connection while pulling two sections of pipe together. Employee #1 suffered contusions and abrasions but was not hospitalized.

Keywords: EQUIPMENT FAILURE, ABRASION, BOLT, STRUCK BY, FALLING OBJECT, CONTUSION

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	308185537			Non Hospitalized injury	Bruise/Contus/Abras	Occupation not reported

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