Inspection Detail

Case Status: CLOSED

Inspection: 1530865.015 - House Sanitary Supply

Inspection Information - Office: Van Nuys District Office

Inspection Nr: 1530865.015

Report ID: 0950643

Date Opened: 05/04/2021

Site Address:
House Sanitary Supply
1603 Palma Drive
Ventura, CA 93003

Mailing Address:
1603 Palma Drive, Ventura, CA 93003

Union Status: NonUnion

SIC:

NAICS: 423850/Service Establishment Equipment and Supplies Merchant Wholesalers

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 08/06/2021

Emphasis:

Case Closed: 08/30/2021

Related Activity
Type	Activity Nr	Safety	Health
Accident	1746437

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations	1			1		2
Initial Penalty	$12,600	$0	$0	$335	$0	$12,935
Current Penalty	$12,600	$0	$0	$335	$0	$12,935
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citation Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Other	3203(A)	08/06/2021		$335	$335	$0		Z - Issued
2.	02001	Serious	3337(B)	08/06/2021		$12,600	$12,600	$0		Z - Issued

Investigation Summary

Investigation Nr: 135594.015

Event: 02/16/2021

Employee falls into gap between loading dock and truck, brea

At 4:10 p.m. on February 16, 2021, Employee #1, while moving a dolly of material, fell into an 8-inch gap between the loading dock and a truck at a workplace. As the employee's right leg fell into the gap, the body twisted, causing a break in the tibia of the right leg. The gap between the loading dock and the back of the truck was the primary contributing factor to the fall. Emergency services were called, and the employee was transported to the hospital, where he was hospitalized for treatment.

Keywords: Fall, Fall From Elevation, Fracture, Leg, Loading, Loading Dock, Semi Tractor Trailer, Truck

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1530865.015	46	M	Hospitalized injury		Truck drivers, light

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