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Inspection Detail
Inspection: 112176169 - State Of Ca, Dept. Of Water Resources
Inspection Information - Office: Van Nuys District Office
Site Address:
State Of Ca, Dept. Of Water Resources
34534 North 116th Street East
Pearblossom, CA 93553
Mailing Address:
P.O. Box 1020, Pearblossom, CA 93553
Union Status: Union
SIC:9511
NAICS: 0
Inspection Type: Unprog Rel
Scope: Partial
Advanced Notice: N
Ownership: StateGovt
Safety/Health: Health
Close Conference: 04/28/1993
Planning Guide: Health-Manufacturing
Emphasis:
Case Closed: 08/10/1994
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| 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 | 5142 B01 | 05/17/1993 | 06/14/1993 | $0 | $0 | $0 | 07/07/1993 | L - State Settlement | Citation has been deleted. |
| 2. | 01002 | Other | 5155 E01 | 05/17/1993 | 06/14/1993 | $0 | $0 | $0 | 07/07/1993 | L - State Settlement | Citation has been deleted. |
| 3. | 01003 | Other | 5194 H01 | 05/17/1993 | 06/14/1993 | $0 | $0 | $0 | - |
Investigation Summary
Between 9:30 and 11:00 a.m. on April 17, 1993, Employee #1 was at the California Department of Water Resources, Pearblossom, CA, water pumping station. He was working about 20 ft below a floor where terrazzo was being laid by a subcontractor. While preparing and installing piping for a sequential discharge system, he was overcome by multi-chemical vapor exposures from the terrazzo. The employee was semi-conscious when a supervisor observed him and called for assistance. Paramedics provided breathing treatment until the employee was taken to Palmdale Hospital. Employee #1 was diagnosed with multi-chemical exposure, possible respiratory depression, and possible hysterical reaction and was hospitalized overnight.
Keywords: RESPIRATORY, INHALATION, CONSTRUCTION, CHEMICAL VAPOR, CHEMICAL
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 112176169 | Occupation Not Listed |