Inspection Detail

Inspection: 312759566 - King City Union School District

Inspection Information - Office: Fremont District Office

Inspection Nr: 312759566

Report ID: 0950612

Date Opened: 01/23/2009

Site Address:
King City Union School District
502 Collins Street
King City, CA 93930

Mailing Address:
800 Broadway Street, King City, CA 93930

Union Status: Union

SIC:8211

NAICS: 611110/Elementary and Secondary Schools

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 05/21/2009

Emphasis:

Case Closed: 07/30/2011

Related Activity
Type	Activity Nr	Safety	Health
Accident	102605565

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			2		3
Current Violations	1			2		3
Initial Penalty	$3,375	$0	$0	$750	$0	$4,125
Current Penalty	$3,375	$0	$0	$750	$0	$4,125
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	Latest Event
1.	01001	Other	3203 A	05/26/2009	07/13/2009	$375	$375	$0	-
2.	01002	Other	3203 A06 A	05/26/2009	07/13/2009	$375	$375	$0	-
3.	02001	Serious	3273 L	05/26/2009	05/29/2009	$3,375	$3,375	$0	-

Investigation Summary

Investigation Nr: 202585758

Event: 01/14/2009

Employee Is Injured in Fall in Play Yard

On January 13, 2009, Employee #1 was a teacher. She was walking in the play yard and stepped in a hole and tripped. She endured unspecified fractures to her right ankle and right shoulder and was hospitalized to treat the fractures.

Keywords: SHOULDER, TRIPPED, WALKING SURFACE, UNSTABLE SOIL, ANKLE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	312759566			Hospitalized injury	Fracture	Teachers, elementary school

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