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Inspection Detail
Inspection: 119636736 - Hidden Valley Lake Associates
Inspection Information - Office: American Canyon District Office
Site Address:
Hidden Valley Lake Associates
18174 Hidden Valley Road
Middletown, CA 95461
Mailing Address:
P.O. Box 628, Middletown, CA 95461
Union Status: NonUnion
SIC:8641
NAICS: 813990/ Other Similar Organizations (except Business, Professional, Labor, and Political Organizations)
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 06/18/2004
Emphasis:
Case Closed: 06/18/2004
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361600851 |
Investigation Summary
At approximately 10:00 a.m. on May 26, 2004, a waitress at the Hidden Valley Lake Association was working during the morning rush when she tripped and fell hard, face first, on the carpet. She got up and attempted to continue serving, but according to witnesses, appeared flushed and disoriented. She was driven to a hospital, where she was admitted after being examined. The injured employee stated that she tripped while turning. The employee underwent a series of tests to rule out stroke as a possible cause of the accident. She experienced bruises and a possible chipped tooth as a result of her fall.
Keywords: ABRASION, FALL, FACE, CONTUSION, LEG
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 119636736 | Hospitalized injury | Bruise/Contus/Abras | Occupation not reported |