Inspection Detail

Case Status: CLOSED

Inspection: 1382035.015 - Hebrew Home For Aged Disabled

Inspection Information - Office: San Francisco District Office

Inspection Nr: 1382035.015

Report ID: 0950611

Date Opened: 03/01/2019

Site Address:
Hebrew Home For Aged Disabled
4355 Mission Street
San Francisco, CA 94112

Mailing Address:
302 Silver Avenue, San Francisco, CA 94112

Union Status: NonUnion

SIC:

NAICS: 623110/Nursing Care Facilities

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 08/01/2019

Emphasis:

Case Closed: 08/29/2019

Related Activity
Type	Activity Nr	Safety
Accident	1429245
Inspection	1382954	Yes
Inspection	1382642	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				1		1
Current Violations				1		1
Initial Penalty	$0	$0	$0	$300	$0	$300
Current Penalty	$0	$0	$0	$300	$0	$300
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	Note
1.	01001	Other	3203(A)	08/08/2019	09/20/2019	$300	$300	$0	08/14/2019	O - Administrative Law Judge Order

Investigation Summary

Investigation Nr: 118416.015

Event: 02/22/2019

Employee fractures ankle when struck by boom lift

At approximately 11:30 a.m. on February 22, 2019, an employee was engaged in setting up orange cones to warn traffic of the boom lift in operation. The employee stepped into the path of the boom lift. The boom lift operators were performing operations checks. The boom lift operator moved the boom lift. The boom lift left drive wheel rolled over the employee's feet. The employee suffered a right ankle fracture and was hospitalized for this injury.

Keywords: Aerial Lift, Ankle, Boom Truck, Fracture, Struck By, Traffic Control

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1382035.015	32	M	Hospitalized injury		Supervisors, guards

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