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Inspection Detail
Inspection: 314793522 - History San Jose
Inspection Information - Office: Fremont District Office
Inspection Nr: 314793522
Report ID: 0950612
Date Opened: 01/04/2011
Site Address:
History San Jose
1650 Senter Rd.
San Jose, CA 95112
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:8412
NAICS: 712110/Museums
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 04/13/2011
Emphasis:
Case Closed: 05/05/2012
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102732070 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 2 | 3 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $12,600 | $0 | $0 | $5,300 | $0 | $17,900 |
| Current Penalty | $2,025 | $0 | $0 | $2,600 | $0 | $4,625 |
| 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 | 342 A | 05/12/2011 | 05/17/2011 | $2,600 | $5,000 | $0 | 05/27/2011 | F - Formal Settlement | |
| 2. | 01002 | Other | 1509 A | 05/12/2011 | 06/28/2011 | $0 | $300 | $0 | 05/27/2011 | D - Govt Dismissed | Citation has been deleted. |
| 3. | 02001 | Serious | 1670 A | 05/12/2011 | 05/17/2011 | $2,025 | $12,600 | $0 | 05/27/2011 | F - Formal Settlement |
Investigation Summary
Investigation Nr: 202612586
Event: 12/19/2010
Employee Is Injured in Fall from Roof
On December 19, 2010, Employee #1 was on a composition shingle roof checking for water leaks, and he fell off the leading edge. Employee #1 fell 13.5 ft to the ground and sustained serious unspecified injuries. Employee #1 was hospitalized.
Keywords: FRACTURE, ROOF, FALL, FALL PROTECTION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 314793522 | Hospitalized injury | Fracture | Occupation not reported |