Inspection Detail

Inspection: 300837580 - Mr. Lee

Inspection Information - Office: Foster City District Office

Inspection Nr: 300837580

Report ID: 0950613

Date Opened: 05/28/2002

Site Address:
Mr. Lee
511 Placitas Ave. (Private Residence)
Menlo Park, CA 94025

Mailing Address:
511 Placitas Ave., Menlo Park, CA 94025

Union Status: NonUnion

SIC:1521

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/18/2002

Planning Guide: Safety-Construction

Emphasis: S:Construction (Cship)

Case Closed: 07/18/2004

Related Activity
Type	Activity Nr	Safety	Health
Accident	101123289

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			3		4
Current Violations	1			3		4
Initial Penalty	$10,800	$0	$0	$625	$0	$11,425
Current Penalty	$2,250	$0	$0	$625	$0	$2,875
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	Contest	Latest Event
1.	01001	Other	342 A	10/22/2002	10/25/2002	$250	$250	$0		-
2.	01002	Other	1509 A	10/22/2002	10/25/2002	$250	$250	$0		-
3.	01003	Other	1509 B	10/22/2002	10/25/2002	$125	$125	$0		-
4.	02001	Serious	1675 J	10/22/2002	10/25/2002	$2,250	$10,800	$0	12/03/2002	F - Formal Settlement

Investigation Summary

Investigation Nr: 201123908

Event: 05/23/2002

Employee injured in fall from ladder

At approximately 10:30 a.m. on May 23, 2002, Employee #1 was working on a renovation project at a private residence. The employee was on an extension ladder on the roof of the single story part of the house, placing and nailing pieces of wood at the eves of the second story roof. The ladder was not secured, and became displaced, causing the employee to fall, first to the lower roof and then to the ground, a total fall distance of approximately 23 feet. The employee's injuries required hospitalization for treatment.

Keywords: EXTENSION LADDER, ROOF, UNSECURED, LADDER, FALL

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	300837580			Hospitalized injury	Fracture	Occupation not reported

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