Inspection Detail

Case Status: CLOSED

Inspection: 1467331.015 - Ella Signs Inc

Inspection Information - Office: Santa Ana District Office

Inspection Nr: 1467331.015

Report ID: 0950631

Date Opened: 03/03/2020

Site Address:
Ella Signs Inc
22351 El Toro Road
Lake Forest, CA 92630

Mailing Address:
5849 Hazelbrook Avenue, Lakewood, CA 90712

Union Status: NonUnion

SIC:

NAICS: 238210/Electrical Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 08/07/2020

Emphasis:

Case Closed: 12/31/2020

Related Activity
Type	Activity Nr	Safety	Health
Accident	1526373

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				2		2
Current Violations				2		2
Initial Penalty	$0	$0	$0	$280	$0	$280
Current Penalty	$0	$0	$0	$280	$0	$280
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	3395(I)(1)	08/07/2020	09/11/2020	$85	$85	$0		Z - Issued
2.	01002	Other	3648(O)	08/07/2020	09/11/2020	$195	$195	$0		Z - Issued

Investigation Summary

Investigation Nr: 127341.015

Event: 12/09/2019

Employee fractures skull in fall from bucket

At 2:20 p.m. on December 9, 2019, an employee and a coworker were utilizing a Ford F-Super Duty with an Telsta aerial device (Model: A-28D, Serial Number: 97700178) with an extension ladder to replace an existing sign and to perform maintenance. The employee was not wearing fall protection and fell out of the basket approximately 15 feet The employee sustained a fractured skull and punctured hip, resulting in hospitalization.

Keywords: Advertising Sign, Aerial Lift, Fall, Fall From Elevation, Fall Protection, Fracture, Hip, Installing, Lift Bucket, Puncture, Skull

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1467331.015	39	M	Hospitalized injury		Installers And Repairers

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