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Inspection Detail
Inspection: 125757187 - Golden Hill Community Church
Inspection Information - Office: American Canyon District Office
Site Address:
Golden Hill Community Church
2401 Shady Willow Lane
Brentwood, CA 94513
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:8661
NAICS: 813110/Religious Organizations
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/19/2004
Emphasis:
Case Closed: 01/17/2005
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362328460 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| 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 | Citation Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Other | 3203 A | 11/01/2004 | 12/04/2004 | $0 | $0 | $0 | - |
Investigation Summary
On August 10, 2004, Employee #1, a maintenance worker, was dusting glass windows in front of his place of employment when he fell from an extension ladder. The ladder was extended to 17 ft. It is estimated that Employee #1 fell approximately 12 ft to 14 ft. Employee #1 died as a result of his injuries.
Keywords: MAINTENANCE, EXTENSION LADDER, LADDER, FALL
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 125757187 | Fatality | Other | Occupation not reported |