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Inspection Detail

Inspection: 316348804 - Caltrans

Inspection Information - Office: Monrovia District Office

 

Inspection Nr: 316348804
Report ID: 0950644
Date Opened: 02/24/2014

Site Address:
Caltrans
5 Freeway Near Norwalk Blvd
Norwalk, CA 90652

Mailing Address:
11229 S Wooddruff Ave, Downey, CA 90241

Union Status: NonUnion

SIC:1611

NAICS: 237310/ Highway, Street, and Bridge Construction


Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: StateGovt

Safety/Health: Safety

Close Conference: 06/23/2014

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 10/28/2014


Related Activity
Type Activity Nr Safety Health
Accident 102931300
Complaint 209011055 Yes
Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 1 1
Current Violations
Initial Penalty $0 $0 $0 $5,000 $0 $5,000
Current Penalty $0 $0 $0 $0 $0 $0
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 342 A 06/23/2014 08/07/2014 $0 $5,000 $0 07/09/2014 F - Formal Settlement Citation has been deleted.

Investigation Summary

Investigation Nr: 202479788
Event: 12/24/2013
Employee Is Struck and Injured by Flying Debris

At approximately 2:00 p.m. on November 13, 2013, Employee #1 was inspecting work on pile driving operations, which was being conducted by a subcontractor and along an expansion of freeway. There was a crew of four conducting pile driving drilling operations with a foreman supervising. The equipment involved a D-46 Delmag pile driving hammer along with Crane Number 1030 (Model Number 3900 and Serial Number 391005). He was standing approximately 20 ft away and inspecting the spiral reinforced concrete pile driving operation, while counting the number of blows necessary to drive a concrete pile into the ground. The spiral reinforced concrete piles measured 31 ft in length and 14 square inches in width. During the pile driving operations, the blow from a hammer shattered the top of a pile and ejected flying pieces of the concrete pile. The concrete debris flew in the air and struck the left backside of Employee #1. He was thrown to the ground and sustained injuries to his back, left shoulder, pancreas, and internal injuries (damaging his spleen, which was later surgically removed). During the time of the accident there were employees on site, four of the crew members were doing the pile driving drilling operations and a foreman was supervising the work been performed. Employee #1 was transported to a medical center, where he underwent surgery and was then hospitalized for postoperative and additional treatment. At approximately 10:57 a.m. on December 24, 2013, the incident was reported.

Keywords: SHOULDER, SPLEEN, PILE DRIVER, BACK, STRUCK BY, FLYING OBJECT

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 316348804 Hospitalized injury Other Construction inspectors
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