Inspection Detail

Inspection: 310194188 - C & S Rv

Inspection Information - Office: Van Nuys District Office

Inspection Nr: 310194188

Report ID: 0950643

Date Opened: 09/21/2006

Site Address:
C & S Rv
701 N. Rice Ave.
Oxnard, CA 93030

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:7519

NAICS: 532120/ Truck, Utility Trailer, and RV (Recreational Vehicle) Rental and Leasing

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/25/2006

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 06/07/2007

Related Activity
Type	Activity Nr	Safety	Health
Accident	101115889

Violation Summary
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

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	3203 A	10/25/2006	11/27/2006	$0	$0	$0		-

Investigation Summary

Investigation Nr: 202463659

Event: 09/21/2006

Employee Falls from Ladder and Later Dies

At approximately 9:45 a.m. on September 21, 2006, Employee #1 was putting the final touches on a replaced motor home roof. Employee #1 was on the ground ensuring that a roof mounted air conditioner was ready to be reinstalled. After telling a coworker where to place the air conditioner, Employee #1 began to climb an 8-ft, fiberglass, "A-frame" ladder to access the motor home roof. As Employee #1 reached the third step of the ladder, approximately 3 ft from the ground, he fell backwards, striking his head on a forklift, and falling to the concrete floor. Employee #1 was hospitalized and died on October 1, 2006.

Keywords: FRACTURE, HEAD, LADDER, INDUSTRIAL TRUCK, FALL

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	310194188			Fatality	Fracture	Occupation not reported

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