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Inspection Detail
Inspection: 112033600 - Metal Clad Insulation
Inspection Information - Office: San Bernardino District Office
Site Address:
Metal Clad Insulation
8996 Etiwanda Ave
Etiwanda, CA 91739
Mailing Address:
2198 S Du Pont Dr, Anaheim, CA 92806
Union Status: Union
SIC:1799
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 12/17/1991
Emphasis:
Case Closed: 04/05/1993
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361370430 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | 2 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $2,000 | $0 | $0 | $0 | $0 | $2,000 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| 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 | 1509 A | 01/28/1992 | 03/01/1992 | $0 | $0 | $0 | - | ||
| 2. | 02001 | Serious | 1669 A | 01/28/1992 | 03/01/1992 | $0 | $2,000 | $0 | 02/19/1992 | L - State Settlement |
Investigation Summary
On December 6, 1991, Employee #1 was working on an elevated structure. He left the guarded area to secure a roll of tape. He climbed over a guardrail, secured the tape, and stepped backward, falling 33 feet to the paved surface. Employee #1 sustained a crushed pelvis and a D-12 injury to his back.
Keywords: FRACTURE, GUARDRAIL, CONSTRUCTION, CRUSHED, PELVIS, FALL, FALL PROTECTION, WALKING BACKWARD, ELEVATED WORK PLAT, VERTEBRA
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 112033600 | Hospitalized injury | Fracture | Occupation not reported |