Inspection Detail

Inspection: 125953828 - Nicholas Medina

Inspection Information - Office: Santa Ana District Office

Inspection Nr: 125953828

Report ID: 0950631

Date Opened: 07/20/2004

Site Address:
Nicholas Medina
3501 W First St
Santa Ana, CA 92703

Mailing Address:
2261 Maple St, Costa Mesa, CA 92626

Union Status: NonUnion

SIC:0783

NAICS: 561730/Landscaping Services

Inspection Type: Accident

Scope: No Insp/Other

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 08/23/2004

Emphasis:

Case Closed: 08/23/2004

Related Activity
Type	Activity Nr	Safety	Health
Accident	362369043

Investigation Summary

Investigation Nr: 201145240

Event: 07/03/2004

Employer Dies after Fifty Foot Fall from Tree

At approximately 3:22 p.m. on July 3, 2004, Employee #1, an independent contractor gardener, fell from a palm tree into an adjacent tree and then to the ground. The distance from the palm tree to the ground was approximately 50 ft. Employee #1 was treated and hospitalized with fractures to the left arm and pelvis and released on July 10, 2004. On July 15, 2004, Employee #1 complained of shortness of breath and was taken to the hospital where he was pronounced dead at 8:47 a. m.

Keywords: TREE PRUNER, FRACTURE, TREE, PELVIS, FALL, ARM

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	125953828					Occupation not reported

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