Inspection Detail

Inspection: 119769503 - Fleur Du Lac Estates Association

Inspection Information - Office: Sacramento District Office

Inspection Nr: 119769503

Report ID: 0950621

Date Opened: 01/13/1994

Site Address:
Fleur Du Lac Estates Association
4000 Westlake Blvd.
Tahoe Pines, CA 95730

Mailing Address:
P.O. Box 628, Homewood, CA 96141

Union Status: NonUnion

SIC:7349

NAICS: 0

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 01/13/1994

Emphasis:

Case Closed: 06/30/1994

Related Activity
Type	Activity Nr	Safety	Health
Accident	361351570

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				1		1
Current Violations				1		1
Initial Penalty	$0	$0	$0	$150	$0	$150
Current Penalty	$0	$0	$0	$150	$0	$150
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	342 A	02/24/1994	01/13/1994	$150	$150	$0		-

Investigation Summary

Investigation Nr: 170613632

Event: 01/04/1994

Employee slips and falls on ice and suffers concussion

At approximately 8:45 a.m. on January 4, 1994, Employee #1 was walking between workplaces on an asphalt-covered driveway in the rain. It was approximately 36 degrees to 38 degrees Fahrenheit. Employee #1 stepped in a puddle that contained ice. She slipped and fell, landing on her head. Employee #1 was transported by paramedics to Tahoe Forest Hospital, where she was admitted and treated for a head concussion. She stayed in the hospital for 3 days.

Keywords: HEAD, SLIP, STRUCK AGAINST, WALKING SURFACE, FALL, SLIPPERY SURFACE, CONCUSSION, ASPHALT

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	119769503			Hospitalized injury	Concussion	Private household cleaners and servants

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