Inspection Detail

Inspection: 102105368 - Paulsen Roofing Inc.

Inspection Information - Office: Utah Division Of Occupational Safety And Health

Inspection Nr: 102105368

Report ID: 0854910

Date Opened: 10/08/1986

Site Address:
Paulsen Roofing Inc.
Building E-5 Freeport West
Clearfield, UT 84015

Mailing Address:
2440 South 3270 West, West Valley, UT 84119

Union Status: NonUnion

SIC:1761

NAICS: 0

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/08/1987

Emphasis:

Case Closed: 06/08/1989

Related Activity
Type	Activity Nr	Safety	Health
Accident	360780316

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations	1			1		2
Initial Penalty	$200	$0	$0	$0	$0	$200
Current Penalty	$200	$0	$0	$0	$0	$200
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	Note
1.	01001	Serious	CON05000701	10/17/1986	10/27/1986	$200	$200	$0		-
2.	02001	Other	CON05020202 000	10/17/1986	10/27/1986	$0	$0	$0		-

Investigation Summary

Investigation Nr: 690982

Event: 10/07/1986

Employee breaks hip in fall through roof

Employee #1, an SOS employee working for Paulsen Roofing, was part of a crew that was reroofing a 40-year-old building. He was talking to two foremen, who were about to sign him out for the day. While the one of the foremen went to get a pen to sign out Employee #1, the other foreman and Employee #1 started to walk away. Instead of stepping from some plywood onto the roof support, Employee #1 stepped onto some Sheetrock. He broke through three layers of Sheetrock, falling 20 ft and fracturing his hip.

Keywords: FRACTURE, ROOF, WORK RULES, CONSTRUCTION, FALL, HIP, INATTENTION

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	102105368			Hospitalized injury	Fracture	Roofers

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