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Inspection Detail
Inspection: 300837580 - Mr. Lee
Inspection Information - Office: Foster City District Office
Site Address:
Mr. Lee
511 Placitas Ave. (Private Residence)
Menlo Park, CA 94025
Mailing Address:
511 Placitas Ave., Menlo Park, CA 94025
Union Status: NonUnion
SIC:1521
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/18/2002
Planning Guide: Safety-Construction
Emphasis: S:Construction (Cship)
Case Closed: 07/18/2004
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101123289 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 3 | 4 | |||
| Current Violations | 1 | 3 | 4 | |||
| Initial Penalty | $10,800 | $0 | $0 | $625 | $0 | $11,425 |
| Current Penalty | $2,250 | $0 | $0 | $625 | $0 | $2,875 |
| 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 | 342 A | 10/22/2002 | 10/25/2002 | $250 | $250 | $0 | - | ||
| 2. | 01002 | Other | 1509 A | 10/22/2002 | 10/25/2002 | $250 | $250 | $0 | - | ||
| 3. | 01003 | Other | 1509 B | 10/22/2002 | 10/25/2002 | $125 | $125 | $0 | - | ||
| 4. | 02001 | Serious | 1675 J | 10/22/2002 | 10/25/2002 | $2,250 | $10,800 | $0 | 12/03/2002 | F - Formal Settlement |
Investigation Summary
At approximately 10:30 a.m. on May 23, 2002, Employee #1 was working on a renovation project at a private residence. The employee was on an extension ladder on the roof of the single story part of the house, placing and nailing pieces of wood at the eves of the second story roof. The ladder was not secured, and became displaced, causing the employee to fall, first to the lower roof and then to the ground, a total fall distance of approximately 23 feet. The employee's injuries required hospitalization for treatment.
Keywords: EXTENSION LADDER, ROOF, UNSECURED, LADDER, FALL
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 300837580 | Hospitalized injury | Fracture | Occupation not reported |