Inspection Detail

Inspection: 301333415 - Royal Oak Intermediate School

Inspection Information - Office: Monrovia District Office

Inspection Nr: 301333415

Report ID: 0950644

Date Opened: 10/27/2004

Site Address:
Royal Oak Intermediate School
303 S Glendora Ave
Covina, CA 91724

Mailing Address:
, , 00000

Union Status: Union

SIC:8211

NAICS: 611110/Elementary and Secondary Schools

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: LocalGovt

Safety/Health: Safety

Close Conference: 11/16/2004

Emphasis:

Case Closed: 12/28/2007

Related Activity
Type	Activity Nr	Safety	Health
Accident	362596116

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations	1					1
Initial Penalty	$18,000	$0	$0	$0	$0	$18,000
Current Penalty	$2,700	$0	$0	$0	$0	$2,700
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	Serious	3276 A	11/16/2004	12/01/2004	$2,700	$18,000	$0	06/27/2005	F - Formal Settlement

Investigation Summary

Investigation Nr: 201798790

Event: 10/18/2004

Employee Slips Off of Ladder Injuring His Elbow

At approximately 8:30 a.m. on October 18, 2004, Employee #1, a senior custodian, was climbing up an extension ladder, a Werner, Type 1A, 20 ft, using only his left hand while carrying hand towels, rags, under his right arm. He intended to hand the rags to the supervisor who was standing on a 10-ft-high roof near the top of the ladder. Employee #1's right arm was amputated just below the elbow as a child. He either slipped or lost his balance and fell backwards on his right arm. He sustained a comminuted dislocation of his right elbow and was hospitalized.

Keywords: FRACTURE, EXTENSION LADDER, LADDER, SLIP, DISLOCATED, FALL, ELBOW, LOST BALANCE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	301333415			Hospitalized injury	Fracture	Supervisors, cleaning and building service workers

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