Inspection Detail

Inspection: 315993568 - Kaiser Foundation Hospital Dba Kaiser Permanente

Inspection Information - Office: Fremont District Office

Inspection Nr: 315993568

Report ID: 0950612

Date Opened: 10/25/2011

Site Address:
Kaiser Foundation Hospital Dba Kaiser Permanente
39400 Paseo Padre Parkway
Fremont, CA 94538

Mailing Address:
, , 00000

Union Status: Union

SIC:8062

NAICS: 622110/General Medical and Surgical Hospitals

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 11/28/2011

Emphasis:

Case Closed: 12/14/2011

Related Activity
Type	Activity Nr	Safety	Health
Accident	102789054

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				4		4
Current Violations				4		4
Initial Penalty	$0	$0	$0	$2,155	$0	$2,155
Current Penalty	$0	$0	$0	$2,155	$0	$2,155
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Latest Event
1.	01001	Other	3380 F02	12/02/2011	12/19/2011	$375	$375	$0	-
2.	01002	Other	3203 B01	12/02/2011	12/19/2011	$375	$375	$0	-
3.	01003	Other	3421 C	12/02/2011	12/19/2011	$280	$280	$0	-
4.	01004	Other	3276 E07	12/02/2011	12/19/2011	$1,125	$1,125	$0	-

Investigation Summary

Investigation Nr: 202634895

Event: 10/13/2011

Employee Fractures Arm in Fall from Ladder

At approximately 8:30 a.m. on October 13, 2011, Employee #1, a gardener, was trimming trees in the parking lot. He set up a 12-ft aluminum tripod ladder on the asphalt surface, and started trimming branches. The ladder slipped out from under him, causing Employee #1 to fall from an unknown height to the ground below. He sustained a fractured arm and was hospitalized for treatment.

Keywords: FRACTURE, METAL LADDER, FALL, FALL PROTECTION, ARM, TREE TRIMMING, WORK SURFACE, UNSTABLE POSITION

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	315993568			Hospitalized injury	Fracture	Groundskeepers and gardeners, except farm

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