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Inspection Detail
Inspection: 1501005.015 - Pacific Bend, Inc.
Inspection Information - Office: Modesto District Office
Site Address:
Pacific Bend, Inc.
700 D'Arcy Parkway
Lathrop, CA 95330
Mailing Address:
Po Box 9060, Redlands, CA 92375
Union Status: NonUnion
SIC:
NAICS: 332311/Prefabricated Metal Building and Component Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 04/23/2021
Emphasis:
Case Closed: 08/02/2022
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1678835 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | 2 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $6,300 | $0 | $0 | $225 | $0 | $6,525 |
| Current Penalty | $3,600 | $0 | $0 | $225 | $0 | $3,825 |
| 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) | 04/26/2021 | $225 | $225 | $0 | 04/27/2021 | O - Administrative Law Judge Order | ||
| 2. | 02001 | Serious | 3203(A)(4) | 04/26/2021 | $3,600 | $6,300 | $0 | 04/27/2021 | O - Administrative Law Judge Order |
Investigation Summary
At 11:15 a.m. on October 26, 2020, Employee #1 was dismanting a rack inside of a warehouse using a scissor lift. The employee fell from the scissor lift to the concrete warehouse floor below. He was hospitalized and treated for injuries to his head and back.
Keywords: Back, Fall, Fall From Elevation, Head, Scissor lift
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1501005.015 | 0 | M | Hospitalized injury | Laborers, except construction |