Inspection Detail

Inspection: 305351496 - Uci Medical Center

Inspection Information - Office: Santa Ana District Office

Inspection Nr: 305351496

Report ID: 0950631

Date Opened: 08/07/2003

Site Address:
Uci Medical Center
101 City Drive
Orange, CA 92868

Mailing Address:
, , 00000

Union Status: Union

SIC:8062

NAICS: 622110/General Medical and Surgical Hospitals

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/12/2003

Emphasis:

Case Closed: 09/22/2006

Related Activity
Type	Activity Nr	Safety	Health
Accident	362366783

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				1		1
Current Violations				1		1
Initial Penalty	$0	$0	$0	$5,000	$0	$5,000
Current Penalty	$0	$0	$0	$5,000	$0	$5,000
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	342 A	09/12/2003	09/18/2003	$5,000	$5,000	$0		-

Investigation Summary

Investigation Nr: 201143757

Event: 07/29/2003

Employee slips and fractures upper leg

At approximately 5:00 p.m. on July 29, 2003, Employee #1, a surgical registered nurse, and a coworker were moving a cystoscopic operating room table from the outer hallway to operating room Number 4. This table is a Skytron Model 3100, Serial Number 199010364, Equipment Control Number 07057, and weighs 1,155 pounds. It is common practice to have two persons move this table. While moving the table, Employee #1 lost her footing on the left side and slipped. She hit her right knee on the base of the table, twisting the knee and fell to the floor. She was hospitalized with a fracture upper leg.

Keywords: KNEE, FRACTURE, HEALTH CARE WORKER, SLIP, STRUCK AGAINST, FALL, LEG

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	305351496			Hospitalized injury	Other	Registered nurses

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