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Page 2 Jazz Group, Inc. dba Imperial Truck Wash & Repair Fri Feb 17, 2012 3;00pm Inspection Nr. 314995093 Citation Nr. 01 Item/Group 004 mtal Analysis - List numerically each descriptive element of the cited Title 8 CCR section in the Elements column. In the Evidence Summary .in, specify each item of the evidence found during the inspection which substantiates the descriptive element (e.g. hazards, operation, equipment, location and/or measurements.) Under Type(s) of Evidence, specify the classification of the evidence described under Evidence Summary. *Observation (013), Employer Admission EA), Employer Oral Statement (ECS), Other Oral Statement (OOS), Employer Written Statement (EWS), Other Written Statement (OWS), Photograph (PH), Business Record (BR), Document (DO), Sample Measurement (SM), Monitoring Measurement (MM), Equipment/Parts/Machinery (EPM), Other: please specifyI Elements Evidence Summary Types of Evidence 3328. Machinery and Equipment (d) Machinery and equipment designed for a fixed location shall be restrained is * o as to prevent walking or moving from its location. Emploiyer did not restrain racking (approx 7 -feet) to prevent from moving located in the parts department. PH Photo (Y/N) ? Comments: Additional Witness Documentation - List the name, address and phone number of each person having percipient Information of the factual elements above. After each name list the element numbers from above which the person Is able to personally verify. Citation Classification; Usurning that an accident or exposure occurs, what are the likely consequences? b. Management Knowledge (check all below that apply) MActual Management Knowledge x Violation Common Practice at Jobsite • Proximity of Supervisors to Violation • Violation Readily Visible to Anyone Passing By • Obligation Anticipated: Forseeable Hazards (i.e. Asbestos Containing Construction Material In Older Buildings Condition Existed Long Enough For Employer Awareness EjConstructive Management Knowledge Accident at Jobsite Previously from Same Violations) Special Duty to Inspect -Competent Person at Excavation Employer Received Complaints from Other Employees of Violation Condition Other (please state) c. Documentation as to Why Violation is Serious, General or Regulatory. Use the Documentation Worksheet to document evidence of any of the following: d. Prior Violations a. Intentional, Knowing, or Reckless Conduct (Willful) - Willful Elements Worksheet must be attached. f. Failure to Abate. transaction JA Add Ed ME OSHA -1 B/ IBIHpfint(Rev. 9193)