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Inspection Detail
Inspection: 309897569 - Ad-In Incorporated
Inspection Information - Office: Fremont District Office
Site Address:
Ad-In Incorporated
5301 Stevens Creek Blvd.
Santa Clara, CA 95129
Mailing Address:
42200 Boscell Rd., Fremont, CA 94538
Union Status: Union
SIC:1742
NAICS: 238310/Drywall and Insulation Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 12/27/2006
Emphasis:
Case Closed: 10/30/2008
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102518776 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $2,475 | $0 | $0 | $0 | $0 | $2,475 |
| Current Penalty | $0 | $0 | $0 | $410 | $0 | $410 |
| 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 | 1646 F01 | 01/10/2007 | 02/05/2007 | $410 | $2,475 | $0 | I - Informal Settlement |
Investigation Summary
On September 5, 2006, Employee #1 was standing on a rolling scaffold while working on a grid-ceiling system. Other employees were moving the scaffold, trying to roll it over power cords that were on the floor. Employee #1 fell from the scaffold approximately 6.5 feet to the floor. Employee #1 was hospitalized for treatment of his fractured left wrist.
Keywords: FRACTURE, MOBILE SCAFFOLD, CEILING, STRUCK AGAINST, CONSTRUCTION, RIDING ON EQUIPMENT, WALKING SURFACE, FALL, SCAFFOLD, WRIST
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 309897569 | Hospitalized injury | Fracture | Occupation not reported |