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Inspection Detail
Inspection: 306555350 - Church Of The Guardian Angel
Inspection Information - Office: Hasbrouck Heights Area Office
Inspection Nr: 306555350
Report ID: 0214500
Date Opened: 10/09/2003
Site Address:
Church Of The Guardian Angel
320 Franklin Turnpike
Allendale, NJ 07401
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:8661
NAICS: 813110/Religious Organizations
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 02/11/2004
Emphasis: L:Fall
Case Closed: 03/22/2004
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101380673 | ||
| Referral | 201387412 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $750 | $0 | $0 | $0 | $0 | $750 |
| Current Penalty | $750 | $0 | $0 | $0 | $0 | $750 |
| 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 | Serious | 19100029 A03 VII | 02/23/2004 | 02/26/2004 | $750 | $750 | $0 | - |
Investigation Summary
Investigation Nr: 201380607
Event: 10/03/2003
Employee dies after fall
At approximately 12:30 p.m. on October 3, 2003, Employee #1 was changing a light bulb in the ceiling of a canopy over the outdoor entrance of a church when he fell from either a scaffold or a ladder. He died 4 days later from the injuries.
Keywords: MAINTENANCE, LADDER, FALL, SCAFFOLD
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 306555350 | Fatality | Concussion | Janitors and cleaners |