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Inspection Detail
Inspection: 309903755 - Jose Luis Pavon
Inspection Information - Office: Long Beach District Office
Site Address:
Jose Luis Pavon
3847 Wilton St
Long Beach, CA 90804
Mailing Address:
14725 Dartmoor Avenue, Norwalk, CA 90650
Union Status: NonUnion
SIC:1771
NAICS: 238110/Poured Concrete Foundation and Structure Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 11/27/2006
Emphasis:
Case Closed: 02/05/2019
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362413510 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 1 | 3 | |||
| Current Violations | 2 | 1 | 3 | |||
| Initial Penalty | $24,300 | $0 | $0 | $85 | $0 | $24,385 |
| Current Penalty | $24,300 | $0 | $0 | $85 | $0 | $24,385 |
| 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 | 1509 A | 12/15/2006 | 01/08/2007 | $85 | $85 | $0 | - | ||
| 2. | 02001 | Serious | 25000025 | 12/15/2006 | 12/20/2006 | $10,800 | $10,800 | $0 | - | ||
| 3. | 03001 | Serious | 23950059 B | 12/15/2006 | 12/20/2006 | $13,500 | $13,500 | $0 | - |
Investigation Summary
At 10:59 a.m. on August 16, 2006, Employee #1 was installing concrete forms for a driveway at a house in Long Beach, CA. The house belonged to the owner of a residential construction contracting company that had hired Employee #1's employer, an unlicensed contractor, to build the driveway. While he was working, Employee #1 contacted live electrical wires from a damaged yellow extension cord that was attached to a Dewalt corded electric drill. A coworker heard him call for help, grabbed the cord, and pulled the drill out of his hand. Employee #1 then collapsed into a fetal position, clutching his chest and moaning. The construction company owner heard the commotion and came to help; he started CPR and his wife called 911 for assistance. Employee #1 could not be revived; he was transported to Community Hospital of Long Beach, where he was pronounced dead. Subsequent investigation determined that the yellow extension cord had bare metal conductors showing at its female end, which was attached to the drill. The cord's male end was missing the ground plug, as was the orange extension cord to which it was connected. The orange cord was plugged into an exterior GFCI-protected outlet. The GFCI outlet showed "correct" wiring, but it did not trip under load or when the TEST button was pressed.
Keywords: PORTABLE POWER TOOL, ELECTRICAL, CPR, WORK RULES, CORD SET, ELECTROCUTED, CONSTRUCTION, ELEC CIRC PART--MISC, ELECTRIC CONDUCTOR, ELECTRIC CORD
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 309903755 | Fatality | Electric Shock | Occupation not reported |