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### Inspection Detail

**Case Status: CLOSED**

#### **Inspection: 1534132.015 - U.S. Department Of Veterans Affairs - San Francisco Medical Center**

**Inspection Information - Office: Oakland Area Office**

 

**Inspection Nr**

**Report ID**

**Date Opened**

----

**Site Address**: 			   U.S. Department Of Veterans Affairs - San Francisco Medical Center			   4150 Clement StreetSan 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

----

**Case Status: CLOSED**

#### **Investigation Summary**

**Investigation Nr**

**Event**

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
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