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Inspection Detail
Inspection: 315830463 - Filtration Group Llc
Inspection Information - Office: American Canyon District Office
Site Address:
Filtration Group Llc
498 Aviation Blvd
Santa Rosa, CA 95403
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:3564
NAICS: 333411/Air Purification Equipment Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/08/2013
Emphasis:
Case Closed: 10/22/2013
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102652922 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| 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 | 3203 A04 | 10/22/2013 | 10/25/2013 | $0 | $0 | $0 | - |
Investigation Summary
At 2:15 p.m. on June 17, 2013, an employee was working as a manager for a firm that manufactured and shipped air filters, in Santa Rosa, CA. He was on a dock loading boxes into a truck by hand. As he turned, he tripped and struck his right shoulder against the truck. He sustained several fractures in his arm. He was taken to Santa Rosa Memorial Hospital for treatment. The Santa Rosa district office was notified by the employer at 2:45 p.m. that same day.
Keywords: FRACTURE, SHOULDER, STRUCK AGAINST, TRIPPED, TRUCK, WALKING SURFACE, ARM, LOADING DOCK, LOST BALANCE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 315830463 | Hospitalized injury | Fracture | Managers and administrators, n.e.c |