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Inspection Detail
Case Status: CLOSED
Inspection: 1094043.015 - Mike And Robin Jacks, Homeowner
Inspection Information - Office: American Canyon District Office
Inspection Nr: 1094043.015
Report ID: 0950615
Date Opened: 09/23/2015
Site Address:
Mike And Robin Jacks, Homeowner
204 Bret Harte Rd
San Rafael, CA 94901
Mailing Address:
204 Bret Harte Rd, San Rafael, CA 94901
Union Status: NonUnion
SIC:
NAICS: 236118/Residential Remodelers
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 12/18/2015
Emphasis:
Case Closed: 11/21/2018
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1022470 |
Case Status: CLOSED
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 2 | 3 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $10,800 | $0 | $0 | $5,085 | $0 | $15,885 |
| Current Penalty | $10,800 | $0 | $0 | $85 | $0 | $10,885 |
| 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 | 342(A) | 12/18/2015 | $0 | $5,000 | $0 | 01/04/2016 | F - Formal Settlement | Citation has been deleted. | |
| 2. | 01002 | Other | 3203(A) | 12/18/2015 | $85 | $85 | $0 | 01/04/2016 | F - Formal Settlement | ||
| 3. | 02001 | Serious | 1670(A) | 12/18/2015 | $10,800 | $10,800 | $0 | 01/04/2016 | F - Formal Settlement |
Investigation Summary
Investigation Nr: 79778.015
Event: 09/22/2015
Employee falls from patio deck and is killed
At approximately 4:30 p.m. on September 22, 2015, an employee fell off the third level of a patio deck and landed 26 feet below to the ground. The employee sustained a broken neck and was killed.
Keywords: Decking, Fall, Neck
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1094043.015 | 54 | M | Fatality | Construction laborers |