Inspection Detail

Inspection: 125481523 - Committee On The Shelterless

Inspection Information - Office: American Canyon District Office

Inspection Nr: 125481523

Report ID: 0950615

Date Opened: 06/18/2009

Site Address:
Committee On The Shelterless
900 Hopper St
Petaluma, CA 94952

Mailing Address:
P O Box 2744, Petaluma, CA 94953

Union Status: NonUnion

SIC:8361

NAICS: 623990/Other Residential Care Facilities

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/01/2009

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 09/02/2009

Related Activity
Type	Activity Nr	Safety	Health
Accident	101028876

Investigation Summary

Investigation Nr: 201022324

Event: 06/12/2009

Employee Is Injured in Fall from Fixed Ladder

On June 12, 2009, Employee #1, a maintenance technician with Committee on the Shelterless, had been working on the flat roof of a homeless shelter. At 11:30 a.m., while descending a fixed ladder from the roof, which was 17 ft above the ground, he fell. Employee #1 was hospitalized for injuries to his right elbow, ribs, wrists, pelvis, and head. These injuries included unspecified fractures.

Keywords: FRACTURE, HEAD, MAINTENANCE, LADDER, FIXED LADDER, PELVIS, RIB, FALL, FALL PROTECTION, ELBOW

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	125481523			Hospitalized injury	Fracture	Not specified mechanics and repairers

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