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Occupational Safety and Health Administration OSHA

Inspection Detail

Case Status: CLOSED

Inspection: 1534132.015 - U.S. Department Of Veterans Affairs - San Francisco Medical Center

Inspection Information - Office: Oakland Area Office


Inspection Nr: 1534132.015
Report ID: 0936100
Date Opened: 06/02/2021

Site Address:
U.S. Department Of Veterans Affairs - San Francisco Medical Center
4150 Clement Street
San Francisco, CA 94121

Mailing Address:
Environmental Health & Safety (001 Es) 4150 Clement Street, Bldg. 211, San Francisco, CA 94121

Union Status: Union


NAICS: 622110/General Medical and Surgical Hospitals

Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N


Safety/Health: Safety

Close Conference: 06/02/2021


Case Closed: 09/28/2021

Related Activity
Type Activity Nr Safety Health
Accident 1772767
Case Status: CLOSED
Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 2 1 3
Current Violations 2 1 3
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 Serious 19100025 B03 07/30/2021 $0 $0 $0 Z - Issued  
2. 01002 Serious 19100025 B04 07/30/2021 $0 $0 $0 Z - Issued  
3. 02001 Other 19040039 A02 07/30/2021 08/25/2021 $0 $0 $0 Z - Issued  

Investigation Summary

Investigation Nr: 135988.015
Event: 06/01/2021
Employee Falls Off Flagpole Base Hitting Head, Later Dies

At 11:00 a.m. on June 1, 2021, an employee and a coworker were attempting to unt angle flag pole lines. The employee was standing on a 14 inch wide flagpole base approximately 3 feet off the ground when he lost his balance. The employee fell backward to the ground below and hit his head on the concrete walkway causing a brain injury and later dies.

Keywords:abrasion, blunt force, blunt force trauma, brain, concrete, contusion, fall, head, lost balance, nerve damage, skull, stair, struck against, unstable position, walking surface

Investigated Inspection
# Inspection Age Sex Degree Nature Occupation
1 1534132.015 Fatality
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