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Inspection Detail
Inspection: 1350697.015 - American Vision Windows, Inc.
Inspection Information - Office: Fremont District Office
Site Address:
American Vision Windows, Inc.
175 Wilton Dr.
Campbell, CA 95008
Mailing Address:
2125 N. Madera Rd., Simi Valley, CA 93065
Union Status: NonUnion
SIC:
NAICS: 238350/Finish Carpentry Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 03/26/2019
Emphasis:
Case Closed: 11/12/2019
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1387441 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 4 | 5 | |||
| Current Violations | 1 | 4 | 5 | |||
| Initial Penalty | $0 | $0 | $36,000 | $2,975 | $0 | $38,975 |
| Current Penalty | $18,000 | $0 | $0 | $775 | $0 | $18,775 |
| 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 | 3203(B)(2) | 03/27/2019 | $350 | $425 | $0 | 04/24/2019 | F - Formal Settlement | ||
| 2. | 01002 | Other | 3203(A)(4) | 03/27/2019 | $425 | $850 | $0 | 04/24/2019 | F - Formal Settlement | ||
| 3. | 01003 | Other | 3276(E)(1) | 03/27/2019 | $0 | $850 | $0 | 04/24/2019 | F - Formal Settlement | ||
| 4. | 01004 | Other | 3276(E)(14) | 03/27/2019 | $0 | $850 | $0 | 04/24/2019 | F - Formal Settlement | ||
| 5. | 02001 | Serious | 3276(E)(9) | 03/27/2019 | $18,000 | $36,000 | $0 | 04/24/2019 | F - Formal Settlement |
Investigation Summary
At 3:00 p.m. on September 28, 2018, an employee was working from an extension ladder to caulk a kitchen window. While working, the employee felt an impact on the ladder which caused the ladder to move and drop approximately four inches at which point the employee lost balance and fell fourteen and a half feet. The employee received numerous injuries which include fractures to the pelvis, ribs, right arm and left elbow. The employee also received unspecified minor spinal damage and was hospitalized for a month to treat the injuries.
Keywords: Arm, Elbow, Extension Ladder, Fall, Fracture, Ladder, Lost Balance, Pelvis, Rib, Spine, Struck By
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1350697.015 | 57 | M | Hospitalized injury | Installers And Repairers |