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Inspection Detail
Inspection: 1558201.015 - Factory Os Llc
Inspection Information - Office: American Canyon District Office
Site Address:
Factory Os Llc
1245 Nimitz Ave
Vallejo, CA 94592
Mailing Address:
1245 Nimitz Ave Building 680, Vallejo, CA 94592
Union Status: Union
SIC:
NAICS: 321991/Manufactured Home (Mobile Home) Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 02/07/2022
Emphasis:
Case Closed: 07/31/2023
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1822841 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 3 | 3 | ||||
| Initial Penalty | $0 | $0 | $0 | $1,800 | $0 | $1,800 |
| Current Penalty | $0 | $0 | $0 | $900 | $0 | $900 |
| 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 | 1509(A) | 02/07/2022 | $300 | $600 | $0 | 05/20/2022 | O - Administrative Law Judge Order | ||
| 2. | 01002 | Other | 3395(H) | 02/07/2022 | $300 | $600 | $0 | 05/20/2022 | O - Administrative Law Judge Order | ||
| 3. | 01003 | Other | 3395(I) | 02/07/2022 | $300 | $600 | $0 | 05/20/2022 | O - Administrative Law Judge Order |
Investigation Summary
At 2:01 p.m. on October 11, 2021, an employee was ascending a ladder in order to connect a wall to a bracket. After climbing the ladder, the employee experienced an aura followed by a seizure, causing him to fall backwards from the ladder onto the pavement approximately 8-feet below. His leg became caught on the rungs during the fall, causing the ladder to fall on top of him. The employee's hard hat fell off while he was falling. The employee was hospitalized for treatment of head trauma, a punctured lung, and broken ribs. During his 4-day hospitalization, he was intubated, had a chest tube in place and experienced respiratory arrest.
Keywords: Blunt force trauma, Climbing on Ladder, Fall From Elevation, Fracture, Head, Ladder, Lung, Pavement, Puncture, Rib, Seizure
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1558201.015 | 37 | M | Hospitalized injury | Carpenter apprentices |