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Inspection Detail
Inspection: 310100615 - Pacifica School District
Inspection Information - Office: Foster City District Office
Site Address:
Pacifica School District
340 Inverness
Pacifica, CA 94044
Mailing Address:
375 Reina Del Mar, Pacifica, CA 94044
Union Status: NonUnion
SIC:8211
NAICS: 611110/Elementary and Secondary Schools
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: LocalGovt
Safety/Health: Safety
Close Conference: 12/21/2011
Emphasis:
Case Closed: 03/30/2012
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101138204 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 4 | 4 | ||||
| Current Violations | 4 | 4 | ||||
| Initial Penalty | $0 | $0 | $0 | $1,120 | $0 | $1,120 |
| Current Penalty | $0 | $0 | $0 | $1,120 | $0 | $1,120 |
| 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 | Other | 3203 A | 12/21/2011 | 01/23/2012 | $185 | $185 | $0 | - | ||
| 2. | 01002 | Other | 3382 A | 12/21/2011 | 01/23/2012 | $375 | $375 | $0 | - | ||
| 3. | 01003 | Other | 5194 E01 | 12/21/2011 | 01/23/2012 | $185 | $185 | $0 | - | ||
| 4. | 01004 | Other | 3203 B | 12/21/2011 | 01/23/2012 | $375 | $375 | $0 | - |
Investigation Summary
On August 18, 2011, Employee #1, a substitute custodian with the Pacifica School District, met with coworkers to discuss the floor stripping project they were scheduled to accomplish that day. After the meeting, Employee #1 requested to go home and change shoes. While Employee #1 was gone, coworkers began the stripping process. When Employee #1 returned, he walked onto a wet floor, slipped, fell backwards, and his head struck the floor. He was hospitalized at Kaiser Hospital, and then transferred to Veterans Administration Medical Center, where he was treated for a concussion. Coworkers were not aware that Employee #1 had returned until he fell. Employee #1 could not remember how he fell. One coworker stated that she placed "Caution" signs on two sides of the wet floor.
Keywords: HEAD, WALKING SURFACE, WET OPERATION, FALL, SLIPPERY SURFACE, CONCUSSION, WARNING SIGN
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 310100615 | Hospitalized injury | Concussion | Painters, construction and maintenance |