Inspection Detail

Inspection: 316670116 - Sousa Tire Service

Inspection Information - Office: Van Nuys District Office

Inspection Nr: 316670116

Report ID: 0950643

Date Opened: 06/05/2013

Site Address:
Sousa Tire Service
1935 East Main St.
Santa Maria, CA 93454

Mailing Address:
230 East Clark Ave., Orcutt, CA 93455

Union Status: NonUnion

SIC:7534

NAICS: 326212/Tire Retreading

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 08/05/2013

Emphasis:

Case Closed: 08/05/2013

Related Activity
Type	Activity Nr	Safety	Health
Accident	102786753
Accident	102786761

Investigation Summary

Investigation Nr: 202657482

Event: 05/20/2013

Employee Fractures Arm When Struck by Tire Rim

At approximately 3:08 p.m. on May 20, 2013, Employee #1 was removing the air chuck from a tire when the ring on the rim blew off striking his right forearm. The employee was transported to Marian Medical Center, where he was treated for a fracture to his right arm and released after one day.

Keywords: COMPRESSOR, FRACTURE, BLOWOUT--TIRE, RING, STRUCK BY, ARM, FLYING OBJECT, TIRE RIM, TIRE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	316670116			Hospitalized injury	Fracture	Technicians, n.e.c.

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