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Inspection Detail
Inspection: 1097716.015 - Black Hawk Roof Co, Inc.
Inspection Information - Office: Iowa 0751910
Site Address:
Black Hawk Roof Co, Inc.
2000 Westfield Ave.
Waterloo, IA 50701
Mailing Address:
619 East 19th Street, Cedar Falls, IA 50613
Union Status: NonUnion
SIC:
NAICS: 238160/Roofing Contractors
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/07/2015
Emphasis: S:Fall
Case Closed: 06/28/2016
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1027868 | Yes | |
| Accident | 1057454 | ||
| Inspection | 1098032 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $1,250 | $0 | $0 | $0 | $0 | $1,250 |
| Current Penalty | $1,250 | $0 | $0 | $0 | $0 | $1,250 |
| 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 | Serious | 19260501 B04 I | 10/30/2015 | 11/05/2015 | $1,250 | $625 | $0 | 11/05/2015 | F - Formal Settlement | |
| 2. | 01002 | Serious | 19260502 I04 | 10/30/2015 | 11/05/2015 | $0 | $625 | $0 | 11/05/2015 | F - Formal Settlement | Citation has been deleted. |
Investigation Summary
At 2:04 p.m. on October 4, 2015, an employee and a coworker were removing metal decking material, uncovering a hole opening on a roof. The employee and the coworker were in the process of standing up, lifting the decking material, one person on each end. As the co-worker turned his head toward a warning flag, he felt the decking change direction. At that time the employee on the other end had fallen through the 3 ft by 3 ft hole in the roof, landing on a cement floor. The employee was killed from injuries sustained in the 30 ft fall.
Keywords: Decking Panel, Fall, Roof
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1097716.015 | 35 | M | Fatality | Roofers |