Inspection Detail
Inspection: 1567701.015 - City Of Vallejo
Inspection Information - Office: American Canyon District Office
Site Address:
City Of Vallejo
383 Fairchild Dr.
Travis Afb, CA 94535
Mailing Address:
555 Santa Clara Street, Vallejo, CA 94590
Union Status: Union
SIC:
NAICS: 221310/Water Supply and Irrigation Systems
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: LocalGovt
Safety/Health: Safety
Close Conference: 06/01/2022
Emphasis:
Case Closed: 06/20/2022
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1839701 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | 2 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $18,000 | $0 | $0 | $800 | $0 | $18,800 |
| Current Penalty | $18,000 | $0 | $0 | $800 | $0 | $18,800 |
| 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) | 06/01/2022 | $800 | $800 | $0 | Z - Issued | |||
| 2. | 02001 | Serious | 3213(B) | 06/01/2022 | $18,000 | $18,000 | $0 | Z - Issued |
Investigation Summary
At approximately 12:30 p.m. on December 01, 2021, an employee at the City of Vallejo Water Department was working at the Travis AFB Water Treatment Plant cleaning out a sedimentation basin inlet channel, approximately 5 ft deep, with a fire hose and hydrant. The employee accessed the basin by lifting about six grates that were 3 ft by 3 ft. The employee suddenly slipped and the metal around the grate crushed the employee's knee. At approximately 07:08 p.m. on December 01, 2021, DOSH was notified of the incident in compliance with T8CCR�342 and arrived on site to investigate on December 07, 2021. The employee was treated at David Grant Medical Center and then later transferred to Kaiser Vacaville for surgery of a crushed knee.
Keywords: Abrasion, Cleaning, Contusion, Crushed, Crushing, Cut, Fall, Fall On Same Level, Grate, Irrigation Equipment, Knee, Laceration, Slip, Water
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1567701.015 | 59 | F | Hospitalized injury |
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