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Inspection Detail
Inspection: 1247254.015 - Evelyn Jeanne Inc.
Inspection Information - Office: Van Nuys District Office
Site Address:
Evelyn Jeanne Inc.
2326 Meredith Ln.
Santa Maria, CA 93455
Mailing Address:
2326 Meredith Ln., Santa Maria, CA 93455
Union Status: NonUnion
SIC:
NAICS: 454310
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/10/2017
Emphasis:
Case Closed: 11/22/2017
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1236721 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $0 | $0 | $0 | $700 | $0 | $700 |
| Current Penalty | $0 | $0 | $0 | $205 | $0 | $205 |
| 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 | 43000029 A | 10/16/2017 | 11/20/2017 | $0 | $350 | $0 | I - Informal Settlement | ||
| 2. | 01002 | Other | 3203(A) | 10/16/2017 | 11/20/2017 | $205 | $350 | $0 | I - Informal Settlement |
Investigation Summary
At approximately 8:22 a.m. on June 19, 2017, Employee #1 was loading empty propane tanks onto his flatbed service truck. While strapping down the tanks to the flatbed, he lost his footing. Employee #1 fell approximately 46 in. onto an asphalt ground and fractured his right hip. Employee #1 was transported to a medical center, where he was underwent surgical procedures and additional treatment on the hip fracture and was then hospitalized.
Keywords: Elevated Work Platform, Fall, Fracture, Hip, Material Handling, Motor Vehicle, Truck
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1247254.015 | 61 | M | Hospitalized injury | Technicians, n.e.c. |