Inspection Detail

Case Status: CLOSED

Inspection: 1314278.015 - Serra Catholic School

Inspection Information - Office: Santa Ana District Office

Inspection Nr: 1314278.015

Report ID: 0950631

Date Opened: 05/07/2018

Site Address:
Serra Catholic School
23652 Antonio Pkwy.
Rsm, CA 92688

Mailing Address:
23652 Antonio Pkwy., Rsm, CA 92688

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: 08/09/2018

Emphasis:

Case Closed: 08/09/2019

Related Activity
Type	Activity Nr	Safety	Health
Accident	1333301

Case Status: CLOSED

Investigation Summary

Investigation Nr: 108111.015

Event: 04/27/2018

Employee trips and falls over door threshold and is hospital

At 11:45 a.m. on April 27, 2018, an employee was walking into the hallway from the lunch room and tripped over the threshold of a door. The employee fractured his right knee and left arm, bruised his forehead, and blackened his eye. The employee was hospitalized.

Keywords: Arm, Contusion, Eye, Fall, Forehead, Fracture, Knee, Tripped

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1314278.015	62	F	Hospitalized injury		Education teachers

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