Inspection Detail
Inspection: 111873949 - Doa/Jan Clayton Center
Inspection Information - Office: Los Angeles District Office
Site Address:
Doa/Jan Clayton Center
4969 Sunset Blvd.
Los Angeles, CA 90028
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:8399
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 05/26/1992
Emphasis:
Case Closed: 04/18/1994
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361276660 |
Investigation Summary
Employee #1, a cook, was returning with a large #10 can in her hands from the store room, which is located outside the kitchen in an alleyway. She opened the door to the kitchen and stepped down onto the tile floor. Her foot slipped from under her and she fell to the floor. Employee #1 suffered a sprained back. She was removed to the hospital, where she was held for examination and observation. After the fact, she mentioned that she might have stepped into a small stream of water coming from a leaking faucet in the alleyway.
Keywords: SLIP, BACK, FALL, SLIPPERY SURFACE, SPRAIN
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 111873949 | Non Hospitalized injury | Strain/Sprain | Cooks, except short order |
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