Accident Report Detail
Accident Summary Nr: 201159118 - Employee Is Injured in Fall Off Ladder Platform
| Inspection Nr | Date Opened | SIC | NAICS | Establishment Name |
|---|---|---|---|---|
| 300864931 | 02/20/2004 | 4225 | 493110 | Madison Home |
Abstract: At approximately 4:00 p.m. on January 25, 2004, Employee #1, with Madison Home, was standing on the platform of a 5-step portable metal ladder, 4 feet 3 inches high, removing boxes of wooden bed railings from a metal rack. The wooden railings slipped out of the box and struck his knee. Employee #1 then lost his balance and fell from the ladder platform onto the concrete floor. He was hospitalized at Moreno Valley Medical Center for a fractured jaw and left wrist.
| Employee # | Inspection Nr | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 300864931 | Hospitalized injury | Fracture | General office clerks |
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