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Inspection Detail
Inspection: 1350695.015 - Fullshield Inc.
Inspection Information - Office: Santa Ana District Office
Site Address:
Fullshield Inc.
2178 Canyon Dr.
Costa Mesa, CA 92627
Mailing Address:
2026 N. Riverside Ave. Ste. C250, Rialto, CA 92377
Union Status: NonUnion
SIC:
NAICS: 561710/Exterminating and Pest Control Services
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 01/15/2019
Emphasis:
Case Closed: 10/25/2022
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1384892 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 3 | 4 | |||
| Current Violations | 1 | 3 | 4 | |||
| Initial Penalty | $13,500 | $0 | $0 | $1,555 | $0 | $15,055 |
| Current Penalty | $10,800 | $0 | $0 | $585 | $0 | $11,385 |
| 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 | 1509(A) | 01/17/2019 | 02/22/2019 | $195 | $625 | $0 | 03/04/2019 | O - Administrative Law Judge Order | |
| 2. | 01002 | Other | 1509(B) | 01/17/2019 | 02/22/2019 | $195 | $465 | $0 | 03/04/2019 | O - Administrative Law Judge Order | |
| 3. | 01003 | Other | 3395(I) | 01/17/2019 | 03/07/2019 | $195 | $465 | $0 | 03/04/2019 | O - Administrative Law Judge Order | |
| 4. | 02001 | Serious | 1670(A) | 01/17/2019 | $10,800 | $13,500 | $0 | 03/04/2019 | O - Administrative Law Judge Order |
Investigation Summary
At 3:00 p.m. on August 17, 2018, and employee was finished replacing roof tiles and fascia boards on the second story while standing on the first story garage roof. The employee turned, lost his balance, and fell from the roof. The employee fractured his elbow and ankle during the fall. The employee was taken to Orange Country Global hospital where he was admitted.
Keywords: Ankle, Construction, Elbow, Fall, Fall Protection, Fracture, Lost Balance, Roof
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1350695.015 | 56 | M | Hospitalized injury | Construction laborers |