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Inspection Detail
Inspection: 125887067 - Kaiser Permanente
Inspection Information - Office: San Bernardino District Office
Inspection Nr: 125887067
Report ID: 0950633
Date Opened: 10/17/1995
Site Address:
Kaiser Permanente
9961 Sierra Avenue
Fontana, CA 92335
Mailing Address:
, , 00000
Union Status: Union
SIC:8062
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/17/1995
Emphasis:
Case Closed: 08/30/1996
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362239592 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $750 | $0 | $0 | $0 | $0 | $750 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| 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 | Serious | 3210 B | 11/29/1995 | 11/29/1995 | $0 | $750 | $0 | 12/28/1995 | D - Govt Dismissed |
Investigation Summary
Investigation Nr: 170732283
Event: 08/03/1995
Employee's back injured in 10 ft fall from tank
At 7:46 a.m. on August 3, 1995, Employee #1 was standing and painting atop a round stationary water tank. He slipped on the wet paint and fell 10 ft to the ground, suffering a back injury, Employee #1 had not returned to work as of November 6, 1995.
Keywords: WORK RULES, SLIP, BACK, FALL, FALL PROTECTION, SLIPPERY SURFACE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 125887067 | Non Hospitalized injury | Other | Occupation not reported |