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Inspection Detail
Inspection: 1552389.015 - Bedrock Building Supplies Llc
Inspection Information - Office: Van Nuys District Office
Site Address:
Bedrock Building Supplies Llc
1043 Cheltenham Rd
Santa Barbara, CA 93105
Mailing Address:
208 North Calle Cesar Chavez, Santa Barbara, CA 93103
Union Status: NonUnion
SIC:
NAICS: 444190/Other Building Material Dealers
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/18/2021
Emphasis:
Case Closed: 11/17/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1809554 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 3 | 3 | ||||
| Initial Penalty | $0 | $0 | $0 | $955 | $0 | $955 |
| Current Penalty | $0 | $0 | $0 | $955 | $0 | $955 |
| 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(A)(8) | 10/19/2021 | 11/22/2021 | $135 | $135 | $0 | Z - Issued | ||
| 2. | 01002 | Other | 3650(T)(33) | 10/19/2021 | 11/22/2021 | $410 | $410 | $0 | Z - Issued | ||
| 3. | 01003 | Other | 3668(A)(2) | 10/19/2021 | 11/22/2021 | $410 | $410 | $0 | Z - Issued |
Investigation Summary
At 2:10 p.m. on April 20, 2021, an employee working as a powered industrial vehicle operator (PIV) for a building supply company was operating a forklift unloading cargo. The PIV tipped forward causing the employee to remove is seatbelt. As a result, the employee fell out of the PIV and hit his head on the pavement. The employee received medical treatment without hospitalization for an unspecified head injury.
Keywords: Blunt force, Blunt force trauma, Driver, Fall, Fall From Elevation, Head, Industrial Truck, Motor Vehicle, Palletized Cargo, Pavement, Powered Industrial Vehicle, Safety Device, Seat Belt, Unloading
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1552389.015 | 61 | M | Non Hospitalized injury | Industrial truck and tractor equipment operators |