Inspection Detail

Inspection: 125478446 - Potter Valley Community Unified School District

Inspection Information - Office: American Canyon District Office

Inspection Nr: 125478446

Report ID: 0950615

Date Opened: 04/14/2010

Site Address:
Potter Valley Community Unified School District
10401 Main St
Potter Valley, CA 95469

Mailing Address:
Po Box 219, Potter Valley, CA 95469

Union Status: NonUnion

SIC:8211

NAICS: 611110/Elementary and Secondary Schools

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: LocalGovt

Safety/Health: Safety

Close Conference: 04/14/2010

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 03/17/2012

Related Activity
Type	Activity Nr	Safety	Health
Accident	102646361

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations				2		2
Initial Penalty	$14,400	$0	$0	$150	$0	$14,550
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 A07 C	08/13/2010	09/15/2010	$150	$150	$0		-
2.	02001	Other	3210 C	08/13/2010	08/18/2010	$200	$14,400	$0	09/02/2010	F - Formal Settlement

Investigation Summary

Investigation Nr: 201022795

Event: 03/30/2010

Employee Suffers Multiple Injuries in Fall from Ladder

At 10:15 a.m. on March 30, 2010, Employee #1 was working from a ladder at an approximate height of 12 feet, when he lost his footing and fell to the concrete ground below, sustaining a fracture to his right wrist and a contusion to his face. The site was a school complex and Employee #1 was cleaning the rain gutter on the roof. The employer reported the accident at 11:31 a.m. on April 1, 2010.

Keywords: FRACTURE, RAIN SPOUT, ROOF, LADDER, FALL, FACE, LOST BALANCE, CONCRETE, CONTUSION, WRIST

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	125478446			Hospitalized injury	Fracture	Supervisors, cleaning and building service workers

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