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Inspection Detail
Inspection: 313515215 - St. Andrew Kim Dae Gon Korean Catholic Church
Inspection Information - Office: San Bernardino District Office
Site Address:
St. Andrew Kim Dae Gon Korean Catholic Church
4750 Challen Ave
Riverside, CA 92503
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: 04/05/2012
Planning Guide: Safety-Construction
Emphasis:
Case Closed: 06/20/2012
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102750361 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $85 | $0 | $85 |
| Current Penalty | $0 | $0 | $0 | $85 | $0 | $85 |
| 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 | Other | 3203 A | 04/05/2012 | 05/08/2012 | $85 | $85 | $0 | - |
Investigation Summary
On December 3, 2011, Employee #1, of St. Andrew Kim Dae Gon Korean Catholic Church, was working on a scissor lift. For some reason, he fell, which resulted in some unspecified lacerations. Employee #1 was neither hospitalized for his injuries nor was this incident reported as a serious injury.
Keywords: LACERATION, FALL, AERIAL LIFT
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 313515215 | Non Hospitalized injury | Cut/Laceration | Construction laborers |