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Inspection Detail
Inspection: 1534132.015 - U.S. Department Of Veterans Affairs - San Francisco Medical Center
Inspection Information - Office: Southwest Area Office
Site Address:
U.S. Department Of Veterans Affairs - San Francisco Medical Center
4150 Clement Street
San Francisco, CA 94121
Mailing Address:
Environmental Health & Safety (001 Es) 4150 Clement Street, Bldg. 211, San Francisco, CA 94121
Union Status: Union
SIC:
NAICS: 622110/General Medical and Surgical Hospitals
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership:
Safety/Health: Safety
Close Conference: 06/02/2021
Emphasis:
Case Closed: 09/28/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1772767 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 1 | 3 | |||
| Current Violations | 2 | 1 | 3 | |||
| Initial Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Serious | 19100025 B03 | 07/30/2021 | $0 | $0 | $0 | Z - Issued | |||
| 2. | 01002 | Serious | 19100025 B04 | 07/30/2021 | $0 | $0 | $0 | Z - Issued | |||
| 3. | 02001 | Other | 19040039 A02 | 07/30/2021 | 08/25/2021 | $0 | $0 | $0 | Z - Issued |
Investigation Summary
At 11:00 a.m. on June 1, 2021, an employee and a coworker were attempting to untangle flag pole lines. The employee was standing on a 14 inch wide flagpole base approximately 3 feet off the ground when he lost his balance. The employee fell backward to the ground below and hit his head on the concrete walkway causing a brain injury and later dies.
Keywords: Abrasion, Blunt force, Blunt force trauma, Brain, Concrete, Contusion, Fall, Head, Lost Balance, Nerve damage, Skull, Stair, Struck Against, Unstable Position, Walking Surface
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1534132.015 | 54 | M | Fatality |