Inspection Detail

Inspection: 125485011 - Strawberry Shores Tenants In Common

Inspection Information - Office: American Canyon District Office

Inspection Nr: 125485011

Report ID: 0950615

Date Opened: 07/28/2010

Site Address:
Strawberry Shores Tenants In Common
117 Seminary Dr
Mill Valley, CA 94941

Mailing Address:
111 Siminary Drive, Mill Valley, CA 94941

Union Status: NonUnion

SIC:6513

NAICS: 531110/Lessors of Residential Buildings and Dwellings

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 12/28/2010

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 05/17/2016

Related Activity
Type	Activity Nr	Safety	Health
Accident	102646882

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				4		4
Current Violations				4		4
Initial Penalty	$0	$0	$0	$5,200	$0	$5,200
Current Penalty	$0	$0	$0	$1,700	$0	$1,700
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
1.	01001	Other	342 A	12/30/2010	01/04/2011	$1,500	$5,000	$0	02/02/2011	F - Formal Settlement
2.	01002	Other	1509 A	12/30/2010	01/30/2011	$50	$50	$0	02/02/2011	F - Formal Settlement
3.	01003	Other	1509 B	12/30/2010	01/30/2011	$50	$50	$0	02/02/2011	F - Formal Settlement
4.	01004	Other	1648 C	12/30/2010	01/04/2011	$100	$100	$0	02/02/2011	F - Formal Settlement

Investigation Summary

Investigation Nr: 201023132

Event: 06/28/2010

Employee Sustains Fractures in Fall from Elevated Scaffold

At approximately 11:00 a.m. on June 28, 2010, Employee #1 was doing maintenance work to an apartment building. He was working from a ladder-jack scaffold work platform that was elevated to approximately 10 ft. The employee fell from the platform onto a concrete walkway and his left arm and hip were fractured. Employee #1 was hospitalized.

Keywords: FRACTURE, MAINTENANCE, FALL, ARM, ELEVATED WORK PLAT, HIP, SCAFFOLD

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	125485011			Hospitalized injury	Fracture	Painters, construction and maintenance

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