Accident Report Detail
Accident Summary Nr: 201128469 - Custodian Is Injured in Fall on Wet Floor
| Inspection Nr | Date Opened | SIC | NAICS | Establishment Name |
|---|---|---|---|---|
| 310100615 | 08/25/2011 | 8211 | 611110 | Pacifica School District |
Abstract: 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.
| Employee # | Inspection Nr | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 310100615 | Hospitalized injury | Concussion | Painters, construction and maintenance |
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