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Inspection Detail
Inspection: 1288395.015 - Good Shepherd Lutheran School
Inspection Information - Office: American Canyon District Office
Site Address:
Good Shepherd Lutheran School
1180 Lynwood Drive
Novato, CA 94947
Mailing Address:
1180 Lynwood Drive, Novato, CA 94947
Union Status: NonUnion
SIC:
NAICS: 611110/Elementary and Secondary Schools
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 05/18/2018
Emphasis:
Case Closed: 06/05/2018
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1299839 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $0 | $0 | $0 | $450 | $0 | $450 |
| Current Penalty | $0 | $0 | $0 | $450 | $0 | $450 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Other | 3395(H)(1) | 05/18/2018 | $225 | $225 | $0 | Z - Issued | |||
| 2. | 01002 | Other | 3395(I) | 05/18/2018 | $225 | $225 | $0 | Z - Issued |
Investigation Summary
At 9:45 a.m. on January 11, 2018, an employee was returning a children's Lakewood Tricycle Model to a playground storage shed. The employee attempted to ride the tricycle 60 feet down a 10 degree slope and lost control, falling to the his left and landing on his hip, fracturing his leg. The employee was hospitalized.
Keywords: Fall, Fracture, Hip, Leg, Lost Control
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1288395.015 | 62 | M | Hospitalized injury | Miscellaneous machine operators, n.e.c. |