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Inspection Detail
Inspection: 111788295 - Beverly Manor Convalescent Hospital
Inspection Information - Office: Fremont District Office
Site Address:
Beverly Manor Convalescent Hospital
23795 Holman Hwy.
Monterey, CA 93940
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:8051
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 04/30/1991
Emphasis:
Case Closed: 05/08/1991
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361304280 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 3 | 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 | Other | 14301 A | 04/05/1991 | 04/12/1991 | $0 | $0 | $0 | - | ||
| 2. | 01002 | Other | 6151 E02 | 04/05/1991 | 04/12/1991 | $0 | $0 | $0 | - | ||
| 3. | 01003 | Other | 5194 E01 | 04/05/1991 | 04/12/1991 | $0 | $0 | $0 | - |
Investigation Summary
At approximately 12:00 noon on February 17, 1991, Employee #1 was passing out medication in a patient's room at the Beverly Manor Convalescent Hospital when she slipped on the wet floor. She fell on her left side, striking her knee, arm, shoulder, and neck. Conflicting information made it impossible to confirm whether a wet floor sign was in place. An informational memorandum was issued to the employer noting the requirement for a wet floor sign when the floors were being washed.
Keywords: KNEE, SHOULDER, SLIP, FALL, NECK, SLIPPERY SURFACE, ARM, WARNING SIGN
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 111788295 | Non Hospitalized injury | Bruise/Contus/Abras | Registered nurses |