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Inspection Detail

Inspection: 301333845 - Le Roy Haynes Center

Inspection Information - Office: Monrovia District Office

 

Inspection Nr: 301333845
Report ID: 0950644
Date Opened: 12/29/2004

Site Address:
Le Roy Haynes Center
233 W Baseline
La Verne, CA 91750

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:8211

NAICS: 611110/Elementary and Secondary Schools

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 01/12/2005

Emphasis:

Case Closed: 01/12/2005

Related Activity
Type Activity Nr Safety Health
Accident 101800506

Investigation Summary

Investigation Nr: 201799004
Event: 12/24/2004
Employee Injuries His Head When He Falls from a Ladder

At approximately 10:30 a.m. on December 24, 2004, Employee #1, a maintenance supervisor, was removing a bulletin board off a wall. He was standing on the third rung of a 4 ft ladder to remove the bulletin board. While he was removing a screw, he lost his balance and fell off the ladder. He hit his head on the concrete floor and he was hospitalized with a concussion.

Keywords: HEAD, MAINTENANCE, LADDER, STRUCK AGAINST, FALL, CONCUSSION, CONCRETE

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 301333845 Hospitalized injury Concussion Supervisors; carpenters and related workers
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