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Inspection Detail
Inspection: 111799672 - Pacific Supply Company
Inspection Information - Office: Foster City District Office
Inspection Nr: 111799672
Report ID: 0950613
Date Opened: 10/19/1993
Site Address:
Pacific Supply Company
1148 Drake Avenue
Burlingame, CA 94010
Mailing Address:
767 Parker St., Santa Clara, CA 95052
Union Status: Union
SIC:5211
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 11/08/1993
Planning Guide: Safety-Construction
Emphasis:
Case Closed: 03/14/1994
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361345432 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $75 | $0 | $75 |
| Current Penalty | $0 | $0 | $0 | $75 | $0 | $75 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Other | 1511 A | 11/12/1993 | 12/09/1993 | $75 | $75 | $0 | - |
Investigation Summary
Investigation Nr: 170209704
Event: 10/13/1993
Employee falls while unloading roofing tiles
While unloading roofing tiles at the eave of a roof, Employee #1 stepped on debris and lost his balance. He fell approximately 20 feet and struck the pavement.
Keywords: ROOF, WORK RULES, FALL, SLIPPERY SURFACE, LOST BALANCE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 111799672 | Hospitalized injury | Fracture | Occupation not reported |