Inspection Detail

Inspection: 300752268 - Pacific States Industries Dba Redwood Empire

Inspection Information - Office: American Canyon District Office

Inspection Nr: 300752268

Report ID: 0950615

Date Opened: 08/06/2010

Site Address:
Pacific States Industries Dba Redwood Empire
31401 Mccray Rd.
Cloverdale, CA 95425

Mailing Address:
P.O Box 156, Cloverdale, CA 95425

Union Status: NonUnion

SIC:0831

NAICS: 113210/Forest Nurseries and Gathering of Forest Products

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 11/30/2010

Emphasis:

Case Closed: 05/17/2016

Related Activity
Type	Activity Nr	Safety	Health
Accident	102646957

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				2		2
Current Violations				2		2
Initial Penalty	$0	$0	$0	$840	$0	$840
Current Penalty	$0	$0	$0	$840	$0	$840
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	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 A04	11/30/2010	12/03/2010	$280	$280	$0		I - Informal Settlement
2.	01002	Other	467 B	11/30/2010	12/03/2010	$560	$560	$0		I - Informal Settlement

Investigation Summary

Investigation Nr: 201022829

Event: 08/05/2010

Employee Suffers Multiple Fractures When Struck by Valve

At approximately 10:00 a.m. on august 5, 2010, Employee #1 was instructed to clean by the radiator of the compressor in old compressor room using pressurized water. As he was shutting off the valve of the compressor, the valve handle came loose and struck him in the face. Employee #1 was taken to a nearby hospital, where he was hospitalized and treated for multiple fractures to his face and jaw.

Keywords: FRACTURE, PRESSURE VESSEL, CLEANING, LOCKOUT, STRUCK BY, FLYING OBJECT, FACE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	300752268			Hospitalized injury	Fracture	Occupation not reported

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