STATE OF CALIFORNIA

DEPARTMENT OF INDUSTRIAL RELATIONS

DIVISION OF OCCUPATIONAL SAFETY AND HEALTH
AMUSEMENT RIDE SECTION
2424 Arden Way, Suite 340, Sacramento, CA 95825
(916) 263-3511 FAX (916) 263-3576

AMUSEMENT RIDE FIELD REPORT

OFFICE INSPECTOR INSPECTOR I.D. DATE INSPECTED STATE I.D. NUMBER
11 Bryan Eckman E6414 March 7, 2010 C-05717
PERMIT EXPIRES INSPECTION TIME INSPECTION FEE SURVEY TYPE SPECIAL CALL
PERMIT
NUMBER A T- 1 Hour $125.00 N/A 13
AMUSEMENT RIDE NAME MANUFACTURER TRADE NAME
Motor Cycle Jump Hampton Motor Cycle Jump
LOCATION / EVENT OWNER
Main Street, Hesperia, CA Butler Amusements
MAILING ADDRESS
3003 SW 153rd Drive, Suite 205
CITY STATE ZIP
Beaverton OR 97006
SERIAL NUMBER MODEL NUMBER DATE MANUFACTURED NO. OF CARRIERS NO. OF PERSONS
Portable 8 16
RIDE SPEED MAX DIRECTION OF TRAVEL RIDE DURATION HEIGHT REQUIREMENT AGE REQUIREMENT
5 CCW 2 Minutes

REQUIREMENTS SECTION

The Division conducted an inspection on the attraction named Motor Cycle Jump in the city of
Hesperia, CA.

At the time of the Divisions inspection, the following items were reviewed:

Operating Guidelines
First Aid Report
Inspection of Motorcycles
Maintenance Documentation
Operation Documentation
Training Documentation

During the Divisions inspection, the Division noticed that motorcycle #5 had a broken roll pin at the
spindle end of the sweep where the motorcycle slides onto the spindles. The Division also noticed
that the front stop bar was not completely there. The portion that was missing went under the
motorcycle to prevent it from tilting forward to the point of rolling over. (At the time of the incident, the
motorcycle rolled forward and the injured party fell off the motorcycle.) This front stop bar has been
partially missing for some time.

The Division called the patrons mother on March 9, 2010 to obtain an account of this incident and
received a response on March 9, 2010.
This was the first ride her daughter rode on for the day. Another boy rode on the same bike she was
on before her. On the first round, the ride experienced no problems. On the second round, the back of
the bike lifted up. When the bike flipped up, she hit her head and her arm became caught. She was
dragged approximately 1-2 feet. She was transported to the Desert Valley Medical Center in
Victorville, CA. Upon evaluation, a one inch bump on the left side on the top of her head was
discovered on the hairline. There were no x-rays taken at the time and she was released from the
hospital. Her mother also reported that her daughters arm is sore with no bruising and is otherwise
doing well.

At the conclusion of the Divisions inspection, the following requirements were given to the
Owner/Operator:

R1) The Owner/Operator shall install a new roll pin and replace the missing front stop bar on
motorcycle #5. 3911(b)(3)
NOTE: This requirement has been complied with prior to the Division leaving the location.

R2) The Owner/Operator shall update the daily inspection and training to include the connection
points from the motorcycle to spindle / sweep. 7916
NOTE: This requirement has been complied with prior to the Division leaving the location.

R3) The Owner/Operator shall retrain the maintenance personnel on the updated daily inspection
checklist. 7916
NOTE: This requirement has been complied with prior to the Division leaving the location.

R4) The Owner/Operator shall inspect all motorcycle roll pins at the spindle end of the sweep.
3911(b)(3)
NOTE: This requirement has been complied with prior to the Division leaving the location.

AMOUNT RECEIVED money collected $125 ck#1586___SIGNATURE________________________________________________

COMMENTS/NOTES
 STATE OF CALIFORNIA Page: 1
DEPARTMENT OF INDUSTRIAL RELATIONS
DIVISION OF OCCUPATIONAL SAFETY AND HEALTH
AMUSEMENT RIDE SECTION
2424 Arden Way, Suite 340
Sacramento, CA 95825
(916) 263-3511
PERMANENT AMUSEMENT RIDE FIELD REPORT X TEMPORARY

OFFICE INSPECTOR INSPECTOR I.D. DATE INSPECTED STATE I.D. NUMBER

SA KELLEY ROBERTS R5476 05/26/2016 C19401

DATE INSPECTION TIME INSPECTION FEE SURVEY TYPE SPECIAL CALL

CERT / PERMIT
EXPIRES 03/01/2017 2.25 Hour(s) $375.00 CO
AMUSEMENT PARK NAME CONTACT PERSON TELEPHONE NUMBER

Garden Grove Strawberry Festival Karla Kinsel (503) 643-6610

ADDRESS CITY ZIP

12761 Euclid St Garden Grove 92840

RESPONSIBLE PARTY TELEPHONE NUMBER

Butler Amusements, Inc. (503) 643-6610

ADDRESS CITY STATE ZIP

14049 STATE HIGHWAY 33 GUSTINE CA 95322

AMUSEMENT RIDE NAME AMUSEMENT RIDE CLASSIFICATION

Inversion Class 3
MANUFACTURE NAME TRADE NAME

KMG Inversion
Permit Number Tag Validation

A40246
Billing Information
Fee Type Insp Date Start Time Finish Time Elapsed Time Amount Billed
Inspection 05/26/2016 14:45 17:00 2.25 $375.00
Total 2.25 $375.00
REQUIREMENTS SECTION
Notification in writing that each of the listed items have been complied with shall be provided to the Division by the required
due date. Please send all written correspondence to the address listed above.

REQUIREMENTS DUE DATE: N/A

REQUIREMENTS EXPLAINED TO (NAME) POSITION TELEPHONE NUMBER

Sean Butler Manager (503) 643-6610

On May 25th, 2016, The Division received a complaint regarding a repair that occurred on the ride known as the Inversion.
The complainant alleged that the Inversion ride had crack like indications at the main hub and that a repair attempt was
inadequate. The Owner/Operator attempted a second repair that was also found to be inadequate. The Division notified
the Owner/Operator that the repair would need to be in accordance with AWS D1.1 welding standard. As a result, the
Owner/Operator contacted Battech Enterprises LLC to facilitate the repair. Upon completion of the repair, weld
procedures and NDT documentation were sent to the office. SE Prather visually inspected the repair prior to the ride being
assembled for the California State Fair in Sacramento. The ride was cleared to operate.

At the conclusion of the investigation, no further requirements were issued.

 STATE OF CALIFORNIA Page: 2
DEPARTMENT OF INDUSTRIAL RELATIONS
DIVISION OF OCCUPATIONAL SAFETY AND HEALTH
AMUSEMENT RIDE SECTION
2424 Arden Way, Suite 340
Sacramento, CA 95825
(916) 263-3511
PERMANENT AMUSEMENT RIDE FIELD REPORT X TEMPORARY

OFFICE INSPECTOR INSPECTOR I.D. DATE INSPECTED STATE I.D. NUMBER

SA KELLEY ROBERTS R5476 05/26/2016 C19401

COMMENTS/NOTES
Prior to the completion of the inspection, the Owner/Operator contracted with another ride manufacturer to facilitate the
repair. All Items were found to be satisfactory, and the ride was released for operation.
 STATE OF CALIFORNIA Page: 1
DEPARTMENT OF INDUSTRIAL RELATIONS
DIVISION OF OCCUPATIONAL SAFETY AND HEALTH
AMUSEMENT RIDE SECTION
2424 Arden Way, Suite 340
Sacramento, CA 95825
(916) 263-3511
PERMANENT AMUSEMENT RIDE FIELD REPORT X TEMPORARY

OFFICE INSPECTOR INSPECTOR I.D. DATE INSPECTED STATE I.D. NUMBER

SA DENNIS CAMPI C3229 07/07/2016 C18988

DATE INSPECTION TIME INSPECTION FEE SURVEY TYPE SPECIAL CALL

CERT / PERMIT
EXPIRES 03/01/2017 4.5 Hour(s) $625.00 CO
AMUSEMENT PARK NAME CONTACT PERSON TELEPHONE NUMBER

Cal Expo California State Fair Grounds Karla Kinsel (503) 643-6610
ADDRESS CITY ZIP

1600 Exposition Blvd Sacramento 95815

RESPONSIBLE PARTY TELEPHONE NUMBER

Butler Amusements, Inc. (503) 643-6610

ADDRESS CITY STATE ZIP

14049 STATE HIGHWAY 33 GUSTINE CA 95322

AMUSEMENT RIDE NAME AMUSEMENT RIDE CLASSIFICATION

Music Express Class 3

MANUFACTURE NAME TRADE NAME

SDC Himalaya
Permit Number Tag Validation

A40323
Billing Information
Fee Type Insp Date Start Time Finish Time Elapsed Time Amount Billed
Inspection 07/07/2016 14:00 15:00 1.0 $125.00
Inspection 07/11/2016 13:30 14:00 0.50 $125.00
Inspection 09/01/2016 13:30 16:30 3.0 $375.00
Total 4.5 $625.00
REQUIREMENTS SECTION
Notification in writing that each of the listed items have been complied with shall be provided to the Division by the required
due date. Please send all written correspondence to the address listed above.

REQUIREMENTS DUE DATE: 10-15-2016

REQUIREMENTS EXPLAINED TO (NAME) POSITION TELEPHONE NUMBER

Manual Martinez Manager (503) 643-6610

 STATE OF CALIFORNIA Page: 2
DEPARTMENT OF INDUSTRIAL RELATIONS
DIVISION OF OCCUPATIONAL SAFETY AND HEALTH
AMUSEMENT RIDE SECTION
2424 Arden Way, Suite 340
Sacramento, CA 95825
(916) 263-3511
PERMANENT AMUSEMENT RIDE FIELD REPORT X TEMPORARY

OFFICE INSPECTOR INSPECTOR I.D. DATE INSPECTED STATE I.D. NUMBER

SA DENNIS CAMPI C3229 07/07/2016 C18988

On July 5, 2016 at or around 10:10am, the Division of Occupational Safety and Health Amusement Ride and Tramway
Unit (ART) Regional Manager Nancy Medeiros (RM Medeiros) received a complaint by telephone concerning the
temporary amusement ride known as the Music Express. The ride was previously located at the Alameda County
Fairgrounds located in Pleasanton, California. After receiving notification of the complaint from RM Medeiros, Senior
Engineer for the Division Scott Prather (SE Prather) assigned Associate Engineer for the Division Dennis Campi (AE
Campi) to the investigation.

NOTE: A detailed narrative will also follow.

As a result of the investigation the following requirements were issued to the Owner/Operator:

R01) The signage posted at the entrance to the ride only restricts patrons from bringing backpacks and cell phones on the
ride. The Owner/Operator shall update the signage on this attraction to forbid all carryon items on this ride. 3910(b)

R02) The operators stated that they have an understanding of the carry-on policy for this ride, but there is no training
documentation to support this policy. The Owner/Operator shall update the operator training document to include the
carry-on policy. All operators and attendants positioned at this ride shall be retained on this policy. This training shall
be documented as required by ASTM F770-06. 7916(a)

COMMENTS/NOTES