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Inspection Detail
Inspection: 314828039 - Mary Health Of The Sick
Inspection Information - Office: Van Nuys District Office
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
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102780327 |
| 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 |
| # | 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 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
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
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 314828039 | Hospitalized injury | Fracture | Machinery maintenance occupations |