Inspection Detail

Inspection: 125560169 - Pride Conveyance Systems, Inc

Inspection Information - Office: Fremont District Office

Inspection Nr: 125560169

Report ID: 0950612

Date Opened: 11/14/2003

Site Address:
Pride Conveyance Systems, Inc
1781 Shelton Way
Hollister, CA 95023

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:3444

NAICS: 332322/Sheet Metal Work Manufacturing

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 04/05/2004

Emphasis:

Case Closed: 04/05/2004

Related Activity
Type	Activity Nr	Safety	Health
Accident	102417425

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2			4		6
Current Violations	2			4		6
Initial Penalty	$24,075	$0	$0	$610	$0	$24,685
Current Penalty	$24,075	$0	$0	$610	$0	$24,685
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Latest Event
1.	01001	Other	3203 A	04/13/2004	04/16/2004	$135	$135	$0	-
2.	01002	Other	5144 A02	04/13/2004	05/16/2004	$135	$135	$0	-
3.	01003	Other	5162 E	04/13/2004	04/23/2004	$205	$205	$0	-
4.	01004	Other	5194 G01	04/13/2004	05/16/2004	$135	$135	$0	-
5.	02001	Serious	4310 A01	04/13/2004	04/21/2004	$2,475	$2,475	$0	-
6.	03001	Serious	3231 D	04/13/2004	04/16/2004	$21,600	$21,600	$0	-

Investigation Summary

Investigation Nr: 202313797

Event: 10/22/2003

Employee slips on steps striking his head and dies

On October 22, 2003, Employee #1 was walking up the staircase to his office. The staircase did not have any anti-skid backing on the tread or on the nosing. All of the lower treads 8 to12 steps were worn smooth and slippery. He slipped and fell backward, striking his head. He lost consciousness, and died.

Keywords: HEAD, STAIR, SLIP, CONSTRUCTION, FALL, SLIPPERY SURFACE, CONCUSSION, WORK SURFACE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	125560169			Fatality	Other	Occupation not reported

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