Inspection Detail
Inspection: 125623777 - Central Striping Service
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Inspection Information - Office: Ca American Canyon District Office | ||||
Nr: 125623777 | Report ID: 0950615 | Open Date: 01/17/2003 | ||
Central Striping Service | ||||
On 15th Ave And Country Club Clearlake, CA 95422 | Union Status: Union | |||
SIC: 1611/Highway and Street Construction, Except Elevated Highways | ||||
NAICS: 237310/ Highway, Street, and Bridge Construction | ||||
Mailing: 3489 Luyung Drive, Rancho Cordova, CA 95742 | ||||
Inspection Type: | Accident | |||
Scope: | Partial | Advanced Notice: | N | |
Ownership: | Private | |||
Safety/Health: | Safety | Close Conference: | 02/14/2003 | |
Planning Guide: | Safety-Construction | Close Case: | 10/20/2004 | |
Emphasis: | S:Construction (Cship) | |||
Related Activity: | Type | ID | Safety | Health |
Accident | 361594203 |
Serious | Willful | Repeat | Other | Unclass | Total | |
---|---|---|---|---|---|---|
Initial Violations | 1 | 1 | ||||
Current Violations | 1 | 1 | ||||
Initial Penalty | $12,600 | $0 | $0 | $0 | $0 | $12,600 |
Current Penalty | $2,025 | $0 | $0 | $0 | $0 | $2,025 |
FTA Amount | $0 | $0 | $0 | $0 | $0 | $0 |
# | ID | Type | Standard | Issuance | Abate | Curr$ | Init$ | Fta$ | Contest | LastEvent | |
---|---|---|---|---|---|---|---|---|---|---|---|
1. | 01001 | Serious | 3702 R | 02/11/2003 | 02/14/2003 | $2,025 | $12,600 | $0 | 10/10/2003 | F - Formal Settlement |
Accident Investigation Summary | ||||||
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Summary Nr: 170838445 | Event: 01/08/2003 | Employee Injured While Working As Part Of Road Crew | ||||
On January 8, 2003, Employee #1 was standing on the tailgate of a traveling flatbed truck, setting traffic control cones along the road. The tailgate (a "Tommy Lift") operated through hydraulics and was approximately 12 to 18 inches above the street. For some reason, the tailgate hit a rise in the road and flipped up. Employee #1's right ankle was hit, causing him to fall partially off the truck. He was hospitalized and treated for a fractured right ankle. | ||||||
Keywords: fracture, hydraulic lift, fall, flatbed truck, motor vehicle, ankle | ||||||
Inspection | Degree | Nature | Occupation | |||
1 | 125623777 | Hospitalized injury | Fracture | Paving, surfacing and tamping equipment operators |