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Inspection Detail

Inspection: 315830711 - California State Insulation

Inspection Information - Office: Ca American Canyon District Office

Nr: 315830711Report ID: 0950615Open Date: 09/03/2013

California State Insulation
253 Carina Ave
Santa Rosa, CA 95407
Union Status: NonUnion
SIC: 1721/Painting and Paper Hanging
NAICS: 238320/Painting and Wall Covering Contractors
Mailing: 1244 Tapadera Drive, Santa Rosa, CA 95407

Inspection Type:Accident
Scope:Partial Advanced Notice:N
Ownership:Private
Safety/Health:Safety Close Conference:12/05/2013
Planning Guide: Safety-Construction Close Case:01/24/2015
Emphasis: S:Construction (Cship)

Related Activity:TypeIDSafetyHealth
 Accident102653243    

Violation Summary
Serious Willful Repeat Other Unclass Total
Initial Violations 3 3
Current Violations 3 3
Initial Penalty $0 $0 $0 $585 $0 $585
Current Penalty $0 $0 $0 $585 $0 $585
FTA Amount $0 $0 $0 $0 $0 $0

Violation Items
# ID Type Standard Issuance Abate Curr$ Init$ Fta$ Contest LastEvent
  1. 01001 Other 1509 A 12/05/2013 12/10/2013 $195 $195 $0 -
  2. 01002 Other 3276 E15 A 12/05/2013 12/10/2013 $195 $195 $0 -
  3. 01003 Other 3395 F03 12/05/2013 12/10/2013 $195 $195 $0 -

Accident Investigation Summary
Summary Nr: 201024825Event: 08/27/2013Employee Falls From Ladder Hanging Picture, Fractures Ankle
On August 27, 2013, Employee #1, with California State Insulation, fell from a ladder when it slipped, while he was hanging a picture. He fell about 10 feet. He suffered a compound fracture to his right ankle. Employee #1 was hospitalized.
Keywords: fracture, maintenance, ladder, slip, fall, painter, ankle
Inspection Degree Nature Occupation
1 315830711 Hospitalized injury Fracture Painters, construction and maintenance

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