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Inspection Detail
Inspection: 314829995 - Facility Solutions Group, Dba Fsg Electric
Inspection Information - Office: Van Nuys District Office
Site Address:
Facility Solutions Group, Dba Fsg Electric
30401 Agoura Rd.
Agoura Hills, CA 91301
Mailing Address:
801 Richfield Rd., Placentia, CA 92870
Union Status: NonUnion
SIC:1731
NAICS: 238210/Electrical Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 11/13/2012
Planning Guide: Safety-Construction
Emphasis:
Case Closed: 07/29/2013
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102782661 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 4 | 5 | |||
| Current Violations | 1 | 4 | 5 | |||
| Initial Penalty | $18,000 | $0 | $0 | $6,800 | $0 | $24,800 |
| Current Penalty | $14,400 | $0 | $0 | $4,000 | $0 | $18,400 |
| 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 | 11/14/2012 | 12/03/2012 | $2,750 | $5,000 | $0 | 12/03/2012 | F - Formal Settlement | |
| 2. | 01002 | Other | 1509 B | 11/14/2012 | 12/03/2012 | $200 | $600 | $0 | 12/03/2012 | F - Formal Settlement | |
| 3. | 01003 | Other | 23200001 A | 11/14/2012 | 12/03/2012 | $450 | $600 | $0 | 12/03/2012 | F - Formal Settlement | |
| 4. | 01004 | Other | 3276 E03 | 11/14/2012 | 12/03/2012 | $600 | $600 | $0 | 12/03/2012 | F - Formal Settlement | |
| 5. | 02001 | Serious | 23200002 A | 11/14/2012 | 12/03/2012 | $14,400 | $18,000 | $0 | 12/03/2012 | F - Formal Settlement |
Investigation Summary
At approximately 1:30 a.m., on May 15, 2012, Employee #1 was assigned to replace ballast (GE, Ultra Start T8, Part Serial Number GE432-MVPS-L, Product Code Number 71832, Input: 120- 277 Volts, 50/60 Hz). The employee was engaged in removing and installing electrical ballast in a commercial building. Employee #1 was on a 6 ft. ladder and came in contact with the energized ballast causing him to receive an electrical shock. The employee fell from the 6 ft. ladder. Employee #1 was transported to Los Robles Hospital, where he was treated for Head injuries, electrocution with cardiac arrest, and trauma. The employee was hospitalized for seventeen days.
Keywords: BALLAST--LIGHTING, ELEC INSULATION, HEAD, SHOCK, ELECTRICAL, ELECTROCUTED, LADDER, ELECTRICAL WORK, CARDIAC ARREST, FALL
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 314829995 | Hospitalized injury | Electric Shock | Electrical and electronic technicians |