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Inspection Detail
Inspection: 120310636 - Revchem Plastics, Inc.
Inspection Information - Office: Van Nuys District Office
Site Address:
Revchem Plastics, Inc.
13761 Saticoy St.
Van Nuys, CA 91402
Mailing Address:
P.O. Box 333, Bloomington, CA 92316
Union Status: NonUnion
SIC:5085
NAICS: 453998/All Other Miscellaneous Store Retailers (except Tobacco Stores)
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 09/24/2003
Planning Guide: Safety-Manufacturing
Emphasis:
Case Closed: 01/19/2007
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362511586 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 4 | 4 | ||||
| Current Violations | 4 | 4 | ||||
| Initial Penalty | $0 | $0 | $0 | $1,370 | $0 | $1,370 |
| Current Penalty | $0 | $0 | $0 | $700 | $0 | $700 |
| 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 | 3203 A | 09/26/2003 | 10/29/2003 | $205 | $550 | $0 | 10/14/2003 | F - Formal Settlement | |
| 2. | 01002 | Other | 3210 B | 09/26/2003 | 10/29/2003 | $225 | $550 | $0 | 10/14/2003 | F - Formal Settlement | |
| 3. | 01003 | Other | 3339 A | 09/26/2003 | 10/29/2003 | $135 | $135 | $0 | 10/14/2003 | F - Formal Settlement | |
| 4. | 01004 | Other | 3668 F | 09/26/2003 | 10/29/2003 | $135 | $135 | $0 | 10/14/2003 | F - Formal Settlement |
Investigation Summary
On March 28, 2003, Employee #1 had accessed a storage rack approximately 6 feet in height. While arranging material, he slipped and fell to the ground. Employee #1 suffered a fracture on his right hip and elbow. Employee #1 was taken to Kaiser Hospital and was transferred to Cedars Sinai, where he was admitted and remained until April 24, 2003
Keywords: FRACTURE, SLIP, FALL, ELBOW, HIP
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 120310636 | Hospitalized injury | Fracture | Managers and administrators, n.e.c |