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Inspection Detail
Inspection: 120317565 - R & R Fire Protection
Inspection Information - Office: Van Nuys District Office
Site Address:
R & R Fire Protection
12601 Encinitas Avenue
Sylmar, CA 90342
Mailing Address:
6921 Dove Street, Ventura, CA 93003
Union Status: NonUnion
SIC:1711
NAICS: 238210/Electrical Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 12/19/2003
Emphasis: S:Construction (Cship)
Case Closed: 11/15/2005
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362517757 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 2 | 3 | |||
| Current Violations | 3 | 3 | ||||
| Initial Penalty | $1,575 | $0 | $0 | $525 | $0 | $2,100 |
| Current Penalty | $0 | $0 | $0 | $260 | $0 | $260 |
| 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 | 14300029 A | 12/19/2003 | 01/06/2004 | $0 | $175 | $0 | 01/26/2004 | F - Formal Settlement | |
| 2. | 01002 | Other | 1509 A | 12/19/2003 | 01/06/2004 | $85 | $350 | $0 | 01/26/2004 | F - Formal Settlement | |
| 3. | 02001 | Other | 3646 C | 12/19/2003 | 01/06/2004 | $175 | $1,575 | $0 | 01/26/2004 | F - Formal Settlement |
Investigation Summary
At approximately 11:00 a.m. on June 21, 2003, Employee #1 was putting 20-ft long, 3-in.-diameter steel sprinkler pipes on 30-ft high rafters by using a rented GROVE DUA 73, SM 3269 scissor lift. Coworkers were operating other scissor lifts and heard Employee #1 scream. They turned around and saw Employee #1 approximately 30 ft high, operating the scissors lift. The scissor lift started tilting and tipped over, and the platform hit the ground. When the platform hit the ground, Employee #1 was ejected from the platform. This accident was caused by a missing or broken cotter pin, to hold the nut and the wheel in place, which caused the whole left front wheel to come off. Employee #1 suffered a fractured left ankle and was hospitalized.
Keywords: WHEEL, FRACTURE, STEEL TUBE, COTTER PIN, EQUIPMENT FAILURE, FALL, AERIAL LIFT, ANKLE, OVERTURN
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 120317565 | Hospitalized injury | Other | Occupation not reported |