Accident Report Detail

Accident Summary Nr: 202471926 - Employee Receives Shock When He Came in Contact with Ballast

Accident Summary Nr: 202471926 -- Report ID: 0950643 -- Event Date: 05/15/2012
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
314829995	06/13/2012	1731	238210	Facility Solutions Group, Dba Fsg Electric

Abstract: At approximately 1:30 a.m., on May 15, 2012, Employee #1 was assigned to replace ballast (GE, Ultra Start T8, Part Serial Number GE432-MVPS-L, Product Code Number 71832, Input: 120- 277 Volts, 50/60 Hz). The employee was engaged in removing and installing electrical ballast in a commercial building. Employee #1 was on a 6 ft. ladder and came in contact with the energized ballast causing him to receive an electrical shock. The employee fell from the 6 ft. ladder. Employee #1 was transported to Los Robles Hospital, where he was treated for Head injuries, electrocution with cardiac arrest, and trauma. The employee was hospitalized for seventeen days.

Keywords: BALLAST--LIGHTING, ELEC INSULATION, HEAD, SHOCK, ELECTRICAL, ELECTROCUTED, LADDER, ELECTRICAL WORK, CARDIAC ARREST, FALL

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		Maintenance or repair		Under $50,000	2	25

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	314829995			Hospitalized injury	Electric Shock	Electrical and electronic technicians	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Installing plumbing, lighting fixtures Fatality Cause: Electric shock, other and unknown cause

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