Inspection Detail

Inspection: 300842408 - Ac Square Inc.

Inspection Information - Office: Foster City District Office

Inspection Nr: 300842408

Report ID: 0950613

Date Opened: 03/01/2005

Site Address:
Ac Square Inc.
1560 Brandywine Dr.
San Mateo, CA 94402

Mailing Address:
833 Mahler Rd., Ste. 17, Burlingame, CA 94010

Union Status: NonUnion

SIC:1731

NAICS: 238210/Electrical Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 08/05/2005

Planning Guide: Safety-Construction

Emphasis: S:Construction (Cship)

Case Closed: 11/06/2007

Related Activity
Type	Activity Nr	Safety	Health
Accident	101126787

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			3		4
Current Violations	1			2		3
Initial Penalty	$14,400	$0	$0	$5,400	$0	$19,800
Current Penalty	$1,350	$0	$0	$400	$0	$1,750
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	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	08/10/2005	08/15/2005	$0	$5,000	$0	08/24/2005	F - Formal Settlement	Citation has been deleted.
2.	01002	Other	1509 A	08/08/2005	09/08/2005	$200	$200	$0	08/24/2005	F - Formal Settlement
3.	01003	Other	1509 B	08/08/2005	09/08/2005	$200	$200	$0	08/24/2005	F - Formal Settlement
4.	02001	Serious	8615 G	08/10/2005	08/26/2005	$1,350	$14,400	$0	08/24/2005	F - Formal Settlement

Investigation Summary

Investigation Nr: 201125440

Event: 01/04/2005

Employee injured in fall from utility pole

At approximately 3:45 p.m. on January 4, 2005, Employee #1 was working alone, stringing a television cable from a power pole to a nearby home. He was situated on the pole steps when, for some reason, he lost his grip and fell about 15 ft to the ground. Employee #1 lost consciousness upon impact and was transported to the hospital, where he was treated for three days.

Keywords: HEAD, UNCONSCIOUSNESS, INSTALLING, WORK RULES, CONSTRUCTION, FALL, FALL PROTECTION, UTILITY POLE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	300842408			Hospitalized injury	Concussion	Occupation not reported

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