Inspection Detail
Inspection: 315829648 - Montgomery School District
Inspection Information - Office: American Canyon District Office
Site Address:
Montgomery School District
18620 Fort Ross Road
Cazadero, CA 95421
Mailing Address:
, , 00000
Union Status: Union
SIC:8211
NAICS: 611110/Elementary and Secondary Schools
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: LocalGovt
Safety/Health: Safety
Close Conference: 12/20/2012
Emphasis:
Case Closed: 07/01/2013
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102651940 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $5,000 | $0 | $5,000 |
| Current Penalty | $0 | $0 | $0 | $1,000 | $0 | $1,000 |
| 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 | 12/20/2012 | 12/25/2012 | $1,000 | $5,000 | $0 | 01/04/2013 | F - Formal Settlement |
Investigation Summary
At approximately 1:34 p.m. on November 29, 2012, Employee #1, a teacher, was working for the Montgomery School District. The employee had just completed physical education class with her students. Employee #1 was returning to her classroom. Employee #1 was walking along an asphalt walkway, when she tripped and fell to the ground. The employee was transported by emergency response personnel to Sutter Memorial Hospital, where she was treated for a shoulder fracture and released.
Keywords: FRACTURE, SHOULDER, TRIPPED, FALL, ASPHALT
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 315829648 | Hospitalized injury | Fracture | Teachers, elementary school |
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