Inspection Detail

Inspection: 120335872 - Paint-Ser-Limited

Inspection Information - Office: Sacramento District Office

Inspection Nr: 120335872

Report ID: 0950621

Date Opened: 09/03/1994

Site Address:
Paint-Ser-Limited
3998 Foothill Blvd.
Roseville, CA 95678

Mailing Address:
4245 Myrtle Avenue, Sacramento, CA 95841

Union Status: NonUnion

SIC:1721

NAICS: 0

Inspection Type: Accident

Scope: No Insp/Other

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/03/1994

Emphasis:

Case Closed: 10/13/1994

Related Activity
Type	Activity Nr	Safety	Health
Accident	361509904

Investigation Summary

Investigation Nr: 170613855

Event: 09/03/1994

Employee breaks collarbone in fall when scissor lift tips

At about 1:00 p.m. on September 3, 1994, Employee #1, the owner of Paint-ser-Limited, was in a scissor lift, painting along the canopy area of a new gas station. He was moving the scissor lift in an elevated position, using the lift controls located in one end. Employee #1 was paying attention to his work and didn't observe a hole that had been dug around a valve cover. One wheel dropped into the hole while he was moving, causing the scissor lift to flip over and drop Employee #1 to the ground. First aid was applied by the local fire department before he was transported to Roseville General Hospital, Roseville, CA, where he was admitted with a broken clavicle and multiple cuts and bruises.

Keywords: FRACTURE, UNEVEN GROUND, COLLARBONE, CONSTRUCTION, FALL, PAINTER, AERIAL LIFT, INATTENTION, OVERTURN

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	120335872			Hospitalized injury	Fracture	Supervisors; painters, paperhangers and plasterers

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