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Inspection Detail
Inspection: 314994203 - Holz Rubber Company Inc.
Inspection Information - Office: Modesto District Office
Site Address:
Holz Rubber Company Inc.
1129 S Sacramento St
Lodi, CA 95240
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:3069
NAICS: 326299/All Other Rubber Product Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 11/03/2011
Emphasis:
Case Closed: 12/19/2011
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102723855 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $550 | $0 | $550 |
| Current Penalty | $0 | $0 | $0 | $550 | $0 | $550 |
| 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 A07 B | 11/04/2011 | 11/21/2011 | $550 | $550 | $0 | - |
Investigation Summary
On August 31, 2011, Employee #1 and a coworker were working from an extension bar when its tip snapped off. Both Employee #1 and his coworker fell to the ground, resulting in Employee #1 fracturing his right ankle. Employee #1 was taken to a nearby medical facility, where he was hospitalized and underwent surgery.
Keywords: FRACTURE, MANUAL MAT HANDLING, FALL, UNTRAINED, ANKLE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 314994203 | Hospitalized injury | Fracture | Laborers, except construction |