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Inspection Detail
Inspection: 300749272 - Vista Universal Inc
Inspection Information - Office: American Canyon District Office
Site Address:
Vista Universal Inc
(Macy'S) 1000 Northgate Mall
San Rafael, CA 94903
Mailing Address:
2430 American Ave, Hayward, CA 94545
Union Status: NonUnion
SIC:1731
NAICS: 238210/Electrical Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 12/04/2007
Emphasis:
Case Closed: 01/26/2009
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101024396 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 4 | 5 | |||
| Current Violations | 1 | 4 | 5 | |||
| Initial Penalty | $14,400 | $0 | $0 | $6,500 | $0 | $20,900 |
| Current Penalty | $4,500 | $0 | $0 | $1,250 | $0 | $5,750 |
| 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 | 342 A | 12/21/2007 | 12/27/2007 | $1,000 | $5,000 | $0 | 01/18/2008 | F - Formal Settlement | |
| 2. | 01002 | Other | 1509 A | 12/21/2007 | 01/02/2008 | $250 | $500 | $0 | F - Formal Settlement | ||
| 3. | 01003 | Other | 23200002 A02 | 12/21/2007 | 01/23/2008 | $0 | $500 | $0 | F - Formal Settlement | ||
| 4. | 01004 | Other | 23200002 A06 | 12/21/2007 | 01/23/2008 | $0 | $500 | $0 | F - Formal Settlement | ||
| 5. | 02001 | Serious | 23200002 A03 | 12/21/2007 | 01/07/2008 | $4,500 | $14,400 | $0 | 01/18/2008 | F - Formal Settlement |
Investigation Summary
On August 28, 2007, Employee #1 was working for an electrical contractor that had been hired by a retail establishment to change out old ballast and lamps. He was standing on a ladder changing the ballast in a Sylvania ceiling fixture, QHE2X32T8/UNV, when he received an electric shock and fell off the ladder. Employee #1 suffered a serious injury to his left arm, for which he was hospitalized. The ceiling fixture was energized.
Keywords: LIGHTING CIRCUIT, WORK RULES, LADDER, CONSTRUCTION, ELECTRICAL WORK, LOCKOUT, ELEC CIRC PART--MISC, ELECTRIC SHOCK, FALL, ARM
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 300749272 | Hospitalized injury | Fracture | Electricians |