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Inspection Detail
Inspection: 1021187.015 - Holly Goesch Sole Owner
Inspection Information - Office: Van Nuys District Office
Site Address:
Holly Goesch Sole Owner
12055 Silver Crest Street
Simi Valley, CA 93065
Mailing Address:
1681 Fred Avenue, Simi Valley, CA 93065
Union Status: NonUnion
SIC:
NAICS: 238160/Roofing Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 01/15/2015
Emphasis:
Case Closed: 10/02/2017
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 931021 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 5 | 6 | |||
| Current Violations | 1 | 5 | 6 | |||
| Initial Penalty | $10,800 | $0 | $0 | $760 | $0 | $11,560 |
| Current Penalty | $6,000 | $0 | $0 | $760 | $0 | $6,760 |
| 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 | 1509(A) | 06/16/2015 | $175 | $175 | $0 | Z - Issued | |||
| 2. | 01002 | Other | 1509(C) | 06/16/2015 | 07/16/2015 | $175 | $175 | $0 | Z - Issued | ||
| 3. | 01003 | Other | 1512(B) | 06/16/2015 | 07/28/2015 | $150 | $150 | $0 | Z - Issued | ||
| 4. | 01004 | Other | 1527(A)(2) | 06/16/2015 | 07/16/2015 | $130 | $130 | $0 | Z - Issued | ||
| 5. | 01005 | Other | 3395(F)(3) | 06/16/2015 | 07/16/2015 | $130 | $130 | $0 | Z - Issued | ||
| 6. | 02001 | Serious | 3212(E) | 06/16/2015 | 06/23/2015 | $6,000 | $10,800 | $0 | 07/13/2015 | F - Formal Settlement |
Investigation Summary
At 11:15 a.m. on January 6, 2015, Employee #1, employed by a construction contractor, was working at a residential building construction site. He was on the roof and assisting roofers who were installing composite shingles. Employee #1 backed up, tripped, and fell through an unprotected skylight to the building foundation, a fall height of 20 feet. Emergency services were called, and Employee #1 was transported to the hospital. He was admitted and treated for multiple injuries.
Keywords: Construction, Fall, Fall Protection, Roof, Roof Opening, Roofer, Skylight, Tripped, Walking Backward
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1021187.015 | 51 | M | Hospitalized injury | Construction laborers |