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Page 2 <br />Jazz Group, Inc. dba Imperial Truck Wash & Repair <br />Fri Feb 17, 2012 3:03pm <br />Inspection Nr. 314995093 Citation Nr. 02 Item/Group 001 <br />,ental Analysis - List numerically each descriptive element of the cited Title 8 CCR section in the Elements column. In the Evidence Summer <br />mn, specify each Item of the evidence found during the inspection which substantiates the descriptive element (e.g. hazards, operation, equipment, <br />tocation and/or measurements.) Under Types) of Evidence, specify the classification of the evidence described under Evidence Summary. <br />*Observation (OB), Employer Admission (EA), Employer Oral Statement (eOS), Other Oral Statement (DOS), Employer Written Statement (EWS), Other <br />Written Statement (OWS), Photograph (PH), Business Record (BRI, Document (DO), Sample Measurement'ISM), Monitoring Measurement (MM), <br />Equipment/Parts/Machinery (EPM), Other: please specifyI <br />Elements <br />Evidence Summary <br />Types <br />of Evidence <br />.3577. Protection Devices <br />(a) Work rests. On offhand grinding machines, <br />work rests shall be used to support the work. They <br />Employers grinding maching located in the truck <br />service department did not have a work rest. <br />PH <br />shall be of rigid construction and designed to be <br />adjustable to compensate for wheel wear. Work <br />rests shall be kept adjusted closely to the wheel <br />with a maximum opening of one-eighth inch. The <br />work rest shall be secured after each adjustment. <br />The adjustment shall not be made with the wheel <br />in motion. <br />tional Witness Documentation - List the name, address and phone number of each person having percipient information of the factual elements <br />vs. After each name list the element numbers from above which the person Is able to personally verify. <br />Citation Classification: <br />a. Assuming that an accident or exposure occurs, what are the likely consequences? <br />b. Management Knowledge (check all below that apply) <br />IZIActual Management Knowledge <br />x Violation Common Practice at Jobsits <br />x Proximity of Supervisors to Violation <br />x Violation Readily Visible to Anyone Passing By <br />x Obligation Anticipated: Forseeable Hazards (i.e. Asbestos <br />Containing Construction Material In Older Buildings <br />Condition Existed Long Enough For Employer Awareness <br />In, Constructive Management Knowledge <br />Accident at Jobsite Previously from Same Violation(s) <br />Special Duty to Inspect -Competent Person at Excavation <br />Employer Received Complaints from Other Employees of <br />Violation Condition <br />Other (please state) <br />c. Documentation as to Why Violation is Serious, General or Regulatory. <br />Use the Documentation Worksheet to document evidence of any of the following: <br />d. Prior Violations <br />A. Intentional, Knowing, or Reckless Conduct (Willful) - Willful Elements -Worksheet must be attached. <br />Failure to Abate. <br />OSHA-111/11IMprint(Rev. 9193) <br />