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Inspection Detail
Inspection: 1381969.015 - Oscar Daniel Medrano
Inspection Information - Office: Fremont District Office
Site Address:
Oscar Daniel Medrano
1371 Weston Ridge Drive
Scotts Valley, CA 95066
Mailing Address:
P.O. Box 2012, Hollister, CA 95024
Union Status: NonUnion
SIC:
NAICS: 238110/Poured Concrete Foundation and Structure Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 08/09/2019
Emphasis:
Case Closed: 09/06/2019
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1431219 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 4 | 4 | ||||
| Current Violations | 4 | 4 | ||||
| Initial Penalty | $0 | $0 | $0 | $2,400 | $0 | $2,400 |
| Current Penalty | $0 | $0 | $0 | $2,400 | $0 | $2,400 |
| 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) | 08/13/2019 | $600 | $600 | $0 | Z - Issued | |||
| 2. | 01002 | Other | 1509(B) | 08/13/2019 | $600 | $600 | $0 | Z - Issued | |||
| 3. | 01003 | Other | 1512(I) | 08/13/2019 | $600 | $600 | $0 | Z - Issued | |||
| 4. | 01004 | Other | 3395(I) | 08/13/2019 | $600 | $600 | $0 | Z - Issued |
Investigation Summary
At 10:30 a.m. on February 11, 2019, an employee worked to construct concrete formwork at a new home construction. At some point, the employee picked up an eighty-pound post and received a back and hip fractures. The employee was taken to a local hospital where the employee was hospitalized for surgery to treat the back and hip fractures.
Keywords: Back, Concrete Form Work, Fracture, Hip, Manual Mat Handling
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1381969.015 | 48 | M | Hospitalized injury | Carpenter |