Inspection Detail

Case Status: CLOSED

Inspection: 1445565.015 - U.S. Department Of Homeland Security

Inspection Information - Office: Tampa Area Office

Inspection Nr: 1445565.015

Report ID: 0420600

Date Opened: 11/19/2019

Site Address:
U.S. Department Of Homeland Security
14063 County Road 39 South
Lithia, FL 33547

Mailing Address:
2203 North Lois Avenue Suite 600, Tampa, FL 33607

Union Status: NonUnion

SIC:

NAICS: 713990/All Other Amusement and Recreation Industries

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership:

Safety/Health: Safety

Close Conference: 11/19/2019

Emphasis:

Case Closed: 03/26/2020

Related Activity
Type	Activity Nr	Safety	Health
Referral	1516225	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				1		1
Current Violations				1		1
Initial Penalty	$0	$0	$0	$0	$0	$0
Current Penalty	$0	$0	$0	$0	$0	$0
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	19040039 A02	01/27/2020	02/21/2020	$0	$0	$0		Z - Issued

Investigation Summary

Investigation Nr: 121791.015

Event: 10/29/2019

Employee breaks disc while changing position during weapons

At 12:15 p.m. on October 29, 2019, an employee working for the Department of Homeland Security was changing from a kneeling position to a prone position during M4 Weapons qualification. The employee broke one of the discs in his neck which lacerated a ligament for unknown reasons while changing his position. The disc (gel-like material/nucleus pulposus) surrounded by a thick fibrous ring (annulus fibrous) and located between C6 and C7 slid out. The employee was hospitalized and required surgery.

Keywords: Back, Catch Point, Disc, Firearm, Laceration, Misjudgment, Misjudgment of Hazardous Situation, Neck, Shooting, Shoulder, Struck By, Vertebra

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1445565.015	30	M	Hospitalized injury		Non-Commissioned Officers And Other Enlisted Personnel

Thank You for Visiting Our Website

You are exiting the Department of Labor's Web server.

The Department of Labor does not endorse, takes no responsibility for, and exercises no control over the linked organization or its views, or contents, nor does it vouch for the accuracy or accessibility of the information contained on the destination server. The Department of Labor also cannot authorize the use of copyrighted materials contained in linked Web sites. Users must request such authorization from the sponsor of the linked Web site. Thank you for visiting our site. Please click the button below to continue.