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Inspection Detail

Inspection: 314828039 - Mary Health Of The Sick

Inspection Information - Office: Van Nuys District Office

 

Inspection Nr: 314828039
Report ID: 0950643
Date Opened: 01/20/2012

Site Address:
Mary Health Of The Sick
2929 Theresa Dr.
Newbury Park, CA 91320

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:8059

NAICS: 623110/Nursing Care Facilities

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 05/03/2012

Emphasis:

Case Closed: 03/04/2013

Related Activity
Type Activity Nr Safety Health
Accident 102780327
Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 4 4
Current Violations 4 4
Initial Penalty $0 $0 $0 $1,210 $0 $1,210
Current Penalty $0 $0 $0 $1,210 $0 $1,210
FTA Penalty $0 $0 $0 $0 $0 $0

Violation Items
# Citation ID Citation Type Standard Cited Issuance Date Abatement Due Date Current Penalty Initial Penalty FTA Penalty Contest Latest Event Note
1. 01001 Other 3203 B 05/03/2012 06/05/2012 $325 $325 $0 -  
2. 01002 Other 3203 A 05/03/2012 06/05/2012 $160 $160 $0 -  
3. 01003 Other 3276 E09 05/03/2012 05/13/2012 $485 $485 $0 -  
4. 01004 Other 3276 F01 05/03/2012 06/05/2012 $240 $240 $0 -  

Investigation Summary

Investigation Nr: 202471199
Event: 12/12/2011
Employee Is Injured in Fall from Ladder

At approximately 8:10 p.m. on December 12, 2011, Employee #1, a maintenance worker for a nursing home, was cleaning 18 ft tall kitchen walls from a Werner, Model Number D1520-2, 20-ft aluminum extension ladder. The ladder was positioned approximately 5 ft away from the wall and approximately 2 ft down from the top of the wall. Employee #1 was working from approximately 10 ft high when the ladder slipped out from beneath him. Employee #1 fell and sustained a left hip fracture. Employee #1 was hospitalized.

Keywords: FRACTURE, MAINTENANCE, EXTENSION LADDER, WALL, CLEANING, LADDER, PELVIS, FALL, SLIPPERY SURFACE, HIP

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 314828039 Hospitalized injury Fracture Machinery maintenance occupations
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