Inspection Detail
Inspection: 112035654 - Citrus Elementary School
Inspection Information - Office: San Bernardino District Office
Site Address:
Citrus Elementary School
925 W 7th St
Upland, CA 91786
Mailing Address:
Po Box 1239, Upland, CA 91786
Union Status: Union
SIC:8211
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: LocalGovt
Safety/Health: Safety
Close Conference: 04/09/1991
Emphasis:
Case Closed: 04/17/1991
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361259393 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 2 | 3 | |||
| Current Violations | 1 | 2 | 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 | 342 A | 04/09/1991 | 04/23/1991 | $0 | $0 | $0 | - | ||
| 2. | 01002 | Other | 3278 E20 | 04/09/1991 | 04/23/1991 | $0 | $0 | $0 | - | ||
| 3. | 02001 | Serious | 3278 E21 | 04/09/1991 | 04/23/1991 | $0 | $0 | $0 | - |
Investigation Summary
At approximately 8:30 a.m. on March 1, 1991, Employee #1, an experienced maintenance worker, was coming down a portable wooden extension ladder from a 10 ft 8 in. high canopy roof. He placed one foot on the third rung from the top of the ladder and was trying to place his other foot on the rung when the ladder slipped and he fell to the wet asphalt floor. Employee #1 suffered serious head injuries from striking the back of his head on the floor when first landing; he died later that same day. The extended length of the ladder was 13 ft, and its highest standing level was 9 ft 9 in. The ladder was not long enough to use with a 10 ft 8 in. high roof and still provide 3 ft extended side-rails over the roof level. In addition, the ladder did not have an anti-skid base and no one was holding it to keep it from slipping. The employer was cited for one general and one serious violation.
Keywords: HEAD, MAINTENANCE, EXTENSION LADDER, UNSECURED, WORK RULES, LADDER, SLIP, DESCENDING, FALL, SLIPPERY SURFACE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 112035654 | Fatality | Concussion | Occupation not reported |
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