Inspection Detail

Inspection: 300863818 - Statewide Safety & Sign, Inc.

Inspection Information - Office: San Bernardino District Office

Inspection Nr: 300863818

Report ID: 0950633

Date Opened: 10/10/2003

Site Address:
Statewide Safety & Sign, Inc.
Northbound I-15 N/O Ontario
Corona, CA 92881

Mailing Address:
13755 Blaisdell Place, Poway, CA 92064

Union Status: Union

SIC:1721

NAICS: 238320/Painting and Wall Covering Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 02/10/2004

Emphasis: S:Construction (Cship)

Case Closed: 07/13/2008

Related Activity
Type	Activity Nr	Safety	Health
Accident	101152320

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				1		1
Current Violations				1		1
Initial Penalty	$0	$0	$0	$275	$0	$275
Current Penalty	$0	$0	$0	$275	$0	$275
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citation Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Other	14300029 A	02/10/2004	02/13/2004	$275	$275	$0	03/08/2004	W - Empr Withdrew

Investigation Summary

Investigation Nr: 201157443

Event: 10/08/2003

Employee is killed when struck by vehicle

At approximately 5:35 p.m. on October 8, 2003, Employee #1, a Traffic Control Technician with Statewide Safety & Signs, Inc., was about to display a traffic advisory sign on the shoulder for a work zone traffic control system before guard rail repair. He had just left his vehicle that was properly parked, with activated warning lights, on the right shoulder of Interstate 15, 2213 ft north of the Ontario Avenue undercrossing, south of Corona, in Riverside County. A northbound vehicle traveling in the third lane swerved across the fourth lane, striking Employee #1, and killing him. Witnesses described the hit-and-run vehicle as a white, 2-axle truck, with a van-style front end and an enclosed box on its rear end, towing an empty 2-axle white trailer with mesh sides.

Keywords: REPAIR, TRAFFIC CONTROL, TRUCK, STRUCK BY

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	300863818			Fatality	Other	Helpers, construction trades

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