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Inspection Detail
Inspection: 125953828 - Nicholas Medina
Inspection Information - Office: Santa Ana District Office
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
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362369043 |
Investigation Summary
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
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 125953828 | Occupation not reported |