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Inspection Detail
Inspection: 300842408 - Ac Square Inc.
Inspection Information - Office: Foster City District Office
Site Address:
Ac Square Inc.
1560 Brandywine Dr.
San Mateo, CA 94402
Mailing Address:
833 Mahler Rd., Ste. 17, Burlingame, CA 94010
Union Status: NonUnion
SIC:1731
NAICS: 238210/Electrical Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 08/05/2005
Planning Guide: Safety-Construction
Emphasis: S:Construction (Cship)
Case Closed: 11/06/2007
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101126787 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 3 | 4 | |||
| Current Violations | 1 | 2 | 3 | |||
| Initial Penalty | $14,400 | $0 | $0 | $5,400 | $0 | $19,800 |
| Current Penalty | $1,350 | $0 | $0 | $400 | $0 | $1,750 |
| 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 | 08/10/2005 | 08/15/2005 | $0 | $5,000 | $0 | 08/24/2005 | F - Formal Settlement | Citation has been deleted. |
| 2. | 01002 | Other | 1509 A | 08/08/2005 | 09/08/2005 | $200 | $200 | $0 | 08/24/2005 | F - Formal Settlement | |
| 3. | 01003 | Other | 1509 B | 08/08/2005 | 09/08/2005 | $200 | $200 | $0 | 08/24/2005 | F - Formal Settlement | |
| 4. | 02001 | Serious | 8615 G | 08/10/2005 | 08/26/2005 | $1,350 | $14,400 | $0 | 08/24/2005 | F - Formal Settlement |
Investigation Summary
At approximately 3:45 p.m. on January 4, 2005, Employee #1 was working alone, stringing a television cable from a power pole to a nearby home. He was situated on the pole steps when, for some reason, he lost his grip and fell about 15 ft to the ground. Employee #1 lost consciousness upon impact and was transported to the hospital, where he was treated for three days.
Keywords: HEAD, UNCONSCIOUSNESS, INSTALLING, WORK RULES, CONSTRUCTION, FALL, FALL PROTECTION, UTILITY POLE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 300842408 | Hospitalized injury | Concussion | Occupation not reported |