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Inspection Detail

Inspection: 125884114 - Mercy Air Service

Inspection Information - Office: San Bernardino District Office

 

Inspection Nr: 125884114
Report ID: 0950633
Date Opened: 11/03/2004

Site Address:
Mercy Air Service
11297 Jersey Blvd
Rancho Cucamonga, CA 91730

Mailing Address:
1670 Miro Way, Rialto, CA 92376

Union Status: NonUnion

SIC:4522

NAICS: 621910/Ambulance Services


Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 04/25/2005

Emphasis:

Case Closed: 02/19/2013


Related Activity
Type Activity Nr Safety Health
Accident 101159499
Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 1 3 4
Current Violations 1 3 4
Initial Penalty $18,000 $0 $0 $5,935 $0 $23,935
Current Penalty $2,700 $0 $0 $5,935 $0 $8,635
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 Contest Latest Event Note
1. 01001 Other 342 A 04/25/2005 05/23/2005 $5,000 $5,000 $0 -  
2. 01002 Other 3203 A04 04/25/2005 05/23/2005 $750 $750 $0 -  
3. 01003 Other 3706 A 04/25/2005 05/23/2005 $185 $185 $0 -  
4. 02001 Serious 3706 B 04/25/2005 05/03/2005 $2,700 $18,000 $0 05/03/2005 F - Formal Settlement  

Investigation Summary

Investigation Nr: 202440194
Event: 10/26/2004
Employee Pinned Between Vehicles

At approximately 2:30 p.m., on October 26, 2004, Employee #1 sustained serious injuries to the back of his right knee and fracture of his right femur, when his leg was pinned between the rear bumpers of his 2002 Nissan Xterra SE Sport Utility Vehicle (SUV) and a 1979 White Chevrolet (License # 5C47763) fuel truck. Employee #1 was putting his tools into the tool box in the rear hatch of his SUV, while standing at the right rear corner of his SUV, having his back toward the backing up fuel truck, driven by a helicopter pilot at the concrete ramp of the Rancho Cucamonga Fire Department Station #174. The Chevrolet, while backing up, pinned his right leg against the rear bumper of his SUV causing serious injuries to his right leg. He was hospitalized for the injuries.

Keywords: KNEE, FRACTURE, VEHICLE, PINNED, CAUGHT BETWEEN, STRUCK BY, FUEL TRUCK, BACKING UP, LEG

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 125884114 Hospitalized injury Fracture Truck drivers, light
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