Inspection Detail

Inspection: 112035654 - Citrus Elementary School

Inspection Information - Office: San Bernardino District Office

Inspection Nr: 112035654

Report ID: 0950633

Date Opened: 03/04/1991

Site Address:
Citrus Elementary School
925 W 7th St
Upland, CA 91786

Mailing Address:
Po Box 1239, Upland, CA 91786

Union Status: Union

SIC:8211

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: LocalGovt

Safety/Health: Safety

Close Conference: 04/09/1991

Emphasis:

Case Closed: 04/17/1991

Related Activity
Type	Activity Nr	Safety	Health
Accident	361259393

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			2		3
Current Violations	1			2		3
Initial Penalty	$0	$0	$0	$0	$0	$0
Current Penalty	$0	$0	$0	$0	$0	$0
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	342 A	04/09/1991	04/23/1991	$0	$0	$0	-
2.	01002	Other	3278 E20	04/09/1991	04/23/1991	$0	$0	$0	-
3.	02001	Serious	3278 E21	04/09/1991	04/23/1991	$0	$0	$0	-

Investigation Summary

Investigation Nr: 170194591

Event: 03/01/1991

Employee killed in fall when ladder slips on wet floor

At approximately 8:30 a.m. on March 1, 1991, Employee #1, an experienced maintenance worker, was coming down a portable wooden extension ladder from a 10 ft 8 in. high canopy roof. He placed one foot on the third rung from the top of the ladder and was trying to place his other foot on the rung when the ladder slipped and he fell to the wet asphalt floor. Employee #1 suffered serious head injuries from striking the back of his head on the floor when first landing; he died later that same day. The extended length of the ladder was 13 ft, and its highest standing level was 9 ft 9 in. The ladder was not long enough to use with a 10 ft 8 in. high roof and still provide 3 ft extended side-rails over the roof level. In addition, the ladder did not have an anti-skid base and no one was holding it to keep it from slipping. The employer was cited for one general and one serious violation.

Keywords: HEAD, MAINTENANCE, EXTENSION LADDER, UNSECURED, WORK RULES, LADDER, SLIP, DESCENDING, FALL, SLIPPERY SURFACE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	112035654			Fatality	Concussion	Occupation not reported

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