Inspection Detail

Inspection: 112176169 - State Of Ca, Dept. Of Water Resources

Inspection Information - Office: Van Nuys District Office

Inspection Nr: 112176169

Report ID: 0950643

Date Opened: 04/07/1993

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

Violation Summary
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

Violation Items
#	Citation ID	Citation 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

Investigation Nr: 170698922

Event: 04/07/1993

Employee exposed to chemicals from terrazzo installation

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

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	112176169					Occupation Not Listed

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