Inspection Detail

Inspection: 109332866 - Hornet Bicycles & Sporting Goods

Inspection Information - Office: San Francisco Ro

Inspection Nr: 109332866

Report ID: 0935000

Date Opened: 03/16/2009

Site Address:
Hornet Bicycles & Sporting Goods
Core Pacific Bldg, 545 Chalan San Antonio Rd.,
Tamuning, GU 96913

Mailing Address:
P.O. Box 8294, Tamuning, GU 96931

Union Status: NonUnion

SIC:5999

NAICS: 453998/All Other Miscellaneous Store Retailers (except Tobacco Stores)

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 06/09/2009

Emphasis: S:Fall From Height

Case Closed: 08/31/2010

Related Activity
Type	Activity Nr	Safety	Health
Accident	101781102

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	3					3
Current Violations	2					2
Initial Penalty	$4,500	$0	$0	$0	$0	$4,500
Current Penalty	$3,000	$0	$0	$0	$0	$3,000
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	19260020 B02	07/10/2009	08/05/2009	$0	$1,500	$0	08/13/2009	F - Formal Settlement	Citation has been deleted.
2.	01002	Serious	19260501 B10	07/10/2009	08/05/2009	$1,500	$1,500	$0	08/13/2009	F - Formal Settlement
3.	01003	Serious	19260503 A01	07/10/2009	08/05/2009	$1,500	$1,500	$0	08/13/2009	F - Formal Settlement

Investigation Summary

Investigation Nr: 201781168

Event: 03/13/2009

Employee Falls from Roof, Later Dies

At approximately 5:00 p.m. on March 13, 2009, Employee #1 was working alone removing old paint using a water blast machine on a flat roof of a building, when he fell approximately 35 ft from the edge of the roof. Employee #1 was taken to the hospital, where he later died from his injuries.

Keywords: BLASTING, ROOF, PAINT, FALL

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	109332866			Fatality	Fracture	Occupation not reported

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