Inspection Detail

Inspection: 119649010 - Esr Manor

Inspection Information - Office: Fremont District Office

Inspection Nr: 119649010

Report ID: 0950612

Date Opened: 08/12/2005

Site Address:
Esr Manor
602 Novak Drive
San Jose, CA 95127

Mailing Address:
348 Heath Street, Milpitas, CA 95035

Union Status: NonUnion

SIC:8322

NAICS: 624120/Services for the Elderly and Persons with Disabilities

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 01/06/2006

Emphasis:

Case Closed: 02/03/2006

Related Activity
Type	Activity Nr	Safety	Health
Accident	102451853

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				1		1
Current Violations				1		1
Initial Penalty	$0	$0	$0	$350	$0	$350
Current Penalty	$0	$0	$0	$350	$0	$350
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Other	3203 A	01/18/2006	02/03/2006	$350	$350	$0		-

Investigation Summary

Investigation Nr: 202315552

Event: 08/12/2005

Employee Is Killed When Electrocuted by Power Source

On August 12, 2005, Employee #1, of ESR Manor, was alone watering his plants at the back of the adult residential facility. He apparently came in contact with a power source and was killed when he was electrocuted. Upon inspection, it was noted the exposed ground along the fence and the walkway had been saturated from water for long period of time. A check inside the tool storage box, where electrical tools were stored, had no signs of electrical arching. The electrical panel located at the north side of the house was also inspected and had no signs of arching; however, the grounding was insufficient.

Keywords: ELECTROCUTED, ELECTRIC SHOCK, WATER

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	119649010			Fatality	Electric Shock	Occupation not reported

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