Inspection Detail

Case Status: CLOSED

Inspection: 1690417.015 - Living Spaces Outlet

Inspection Information - Office: Ca San Bernardino

Inspection Nr: 1690417.015

Report ID: 0950633

Date Opened: 08/04/2023

Site Address:
Living Spaces Outlet
18810 Harvill Avenue
Perris, CA 92570

Mailing Address:
18810 Harvill Avenue, Perris, CA 92570

Union Status: NonUnion

SIC:

NAICS: 442110/Furniture Stores

Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 12/01/2023

Emphasis:

Case Closed: 12/01/2023

Related Activity
Type	Activity Nr	Safety	Health
Accident	2066486

Case Status: CLOSED

Investigation Summary

Investigation Nr: 158970.015

Event: 08/04/2023

Employee is killed in backwards fall

At 11:30 a.m. on August 4, 2023, an employee was moving boxes when he fell backwards and struck his head on the concrete floor. The employee suffered blunt force trauma to his head and died.

Keywords: Blunt force, Blunt force trauma, Concrete Floor, Container, Fall, Fall On Same Level, Head, Material Handling, Moving

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1690417.015	67	M	Fatality		Laborers, except construction

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