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Inspection Detail
Inspection: 307455246 - Workforce Outsourcing
Inspection Information - Office: San Bernardino District Office
Inspection Nr: 307455246
Report ID: 0950633
Date Opened: 12/08/2004
Site Address:
Workforce Outsourcing
17177 Navajo Rd
Apple Valley, CA 92307
Mailing Address:
265 S Anita Drive #115, Orange, CA 92868
Union Status: NonUnion
SIC:7363
NAICS: 561320/Temporary Help Services
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 05/04/2005
Emphasis:
Case Closed: 02/19/2013
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101159986 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $185 | $0 | $185 |
| Current Penalty | $0 | $0 | $0 | $185 | $0 | $185 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citation Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Other | 3203 A | 05/04/2005 | 06/06/2005 | $185 | $185 | $0 | 05/26/2005 | F - Formal Settlement |
Investigation Summary
Investigation Nr: 202439725
Event: 11/12/2004
Employee Is Injured in Fall from Roof
At approximately 8:00 a.m. on November 12, 2004, Employee #1 fell approximately 9 ft, 11 in. to the ground from the eaves of the roof of a residential one-story home. Employee #1 suffered hand and wrist fractures and was hospitalized.
Keywords: FRACTURE, ROOF, CONSTRUCTION, ROOFER, FALL, ARM, WRIST
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 307455246 | Hospitalized injury | Fracture | Roofers |