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Inspection Detail
Inspection: 314831132 - Chuck'S Custom Painting
Inspection Information - Office: Van Nuys District Office
Site Address:
Chuck'S Custom Painting
4264 Crest Haven Dr.
Thousand Oaks, CA 91362
Mailing Address:
6105 Palomar Circle, Camarillo, CA 93012
Union Status: NonUnion
SIC:1721
NAICS: 238320/Painting and Wall Covering Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 11/15/2012
Emphasis:
Case Closed: 10/07/2013
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102783081 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 4 | 4 | ||||
| Current Violations | 4 | 4 | ||||
| Initial Penalty | $0 | $0 | $0 | $5,740 | $0 | $5,740 |
| Current Penalty | $0 | $0 | $0 | $1,590 | $0 | $1,590 |
| 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 | 11/15/2012 | 12/18/2012 | $1,000 | $5,000 | $0 | 12/10/2012 | F - Formal Settlement | |
| 2. | 01002 | Other | 1509 A | 11/15/2012 | 12/18/2012 | $195 | $195 | $0 | 12/10/2012 | F - Formal Settlement | |
| 3. | 01003 | Other | 3395 F03 | 11/15/2012 | 12/18/2012 | $195 | $195 | $0 | 12/10/2012 | F - Formal Settlement | |
| 4. | 01004 | Other | 1632 B01 | 11/15/2012 | 12/18/2012 | $200 | $350 | $0 | 12/10/2012 | F - Formal Settlement |
Investigation Summary
At approximately 9:00 a.m. on May 29, 2012, Employee #1, a painter with Chuck's Custom Painting, and a coworker were moving a pool ball wall rack from the closet. There was an approximately 4 ft by 5 ft skylight in the floor of the closet that was covered by thin plastic. Employee #1 stepped onto the skylight and fell approximately ten feet to the tile floor below. Employee #1 sustained fractures of the skull, neck, left hip, shoulder and wrist, and he was hospitalized with these injuries.
Keywords: FRACTURE, HEAD, SHOULDER, UNSTABLE SURFACE, FALL, NECK, PAINTER, HIP, WRIST
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 314831132 | Hospitalized injury | Fracture | Painters, construction and maintenance |