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Inspection Detail
Inspection: 126200567 - San Fernando Temporary Staffing Services Llc
Inspection Information - Office: Monrovia District Office
Site Address:
San Fernando Temporary Staffing Services Llc
1929 Mt Vernon
Pomona, CA 91768
Mailing Address:
13050 E Valley Blvd #203, La Puente, CA 91746
Union Status: NonUnion
SIC:7363
NAICS: 561320/Temporary Help Services
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 05/14/2014
Emphasis:
Case Closed: 03/19/2015
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102720653 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $5,000 | $0 | $5,000 |
| Current Penalty | $0 | $0 | $0 | $3,000 | $0 | $3,000 |
| 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 | 342 A | 05/14/2014 | 06/01/2014 | $3,000 | $5,000 | $0 | 05/23/2014 | F - Formal Settlement |
Investigation Summary
On January 22, 2012, Employee #1 was unloading boxes of trash cans from a truck in the loading dock. He placed the trash cans on the pallet and shrink wrapped them, which were picked up by a forklift operator. Employee #1 started having back pain around 12:00 p.m., took some ibuprofen, and continued to work until 1:25 p.m. He then went to Pirate Staffing to pick up his paycheck and signed a document stating that he did not suffer work related injuries. On January 30, 2014, Employee #1 visited the Emergency Department at Citrus Valley Medical Center for back pain. He underwent emergency surgery for lumbar spinal cord compression and was discharged on February 1, 2014.
Keywords: SPINE, BACK, PALLET, LOADING DOCK
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 126200567 | Hospitalized injury | Hernia | Laborers, except construction |