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Inspection Detail
Inspection: 1510283.015 - Xl Concrete Masonry, Llc
Inspection Information - Office: Sacramento District Office
Site Address:
Xl Concrete Masonry, Llc
3620 Ramos Dr.
West Sacramento, CA 95691
Mailing Address:
4460 Riviera Ridge, Las Vegas, NV 89115
Union Status: NonUnion
SIC:
NAICS: 238140/Masonry Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 06/03/2021
Emphasis:
Case Closed: 03/10/2025
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1710204 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 3 | 3 | ||||
| Initial Penalty | $0 | $0 | $0 | $1,400 | $0 | $1,400 |
| Current Penalty | $0 | $0 | $0 | $1,400 | $0 | $1,400 |
| 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 | Other | 43000029 A | 06/09/2021 | $500 | $500 | $0 | 11/08/2021 | O - Administrative Law Judge Order | ||
| 2. | 01002 | Other | 43000032 A03 | 06/09/2021 | $500 | $500 | $0 | 11/08/2021 | O - Administrative Law Judge Order | ||
| 3. | 01003 | Other | 1509(A) | 06/09/2021 | $400 | $400 | $0 | 11/08/2021 | O - Administrative Law Judge Order |
Investigation Summary
At 2:21 p.m. on December 15, 2020, Employee #1 was carrying a pole brace with another employee when he slipped on a slurry water mix and fell backwards. During the fall, the brace pole landed on top of Employee #1, causing a back injury. The employee was hospitalized for treatment.
Keywords: Back, Concrete Pole, Fall, Struck By
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1510283.015 | 25 | M | Hospitalized injury | Construction laborers |