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Inspection Detail
Inspection: 112209184 - Abc Supply Company
Inspection Information - Office: San Bernardino District Office
Site Address:
Abc Supply Company
1274 Calgary Drive
Lake Arrowhead, CA 92352
Mailing Address:
P.O. Box 838, Beloit, WI 53511
Union Status: NonUnion
SIC:5211
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 04/02/1991
Emphasis:
Case Closed: 04/06/1991
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361055973 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| 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 | 1670 A | 04/12/1991 | 04/12/1991 | $0 | $0 | $0 | - |
Investigation Summary
At 9:58 a.m. on January 29, 1991, Employee #1 was using a hydraulic boom to lift himself and roofing materials to the top of a two-story house. When he started unloading the roofing materials, he fell 10 1/2 ft onto a wooden deck. Employee #1 was hospitalized with a fractured skull and broken right cheek bone.
Keywords: FRACTURE, ROOF, WORK RULES, SKULL, ROOFER, FALL, FALL PROTECTION, OFF LOADING, FACE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 112209184 | Occupation Not Listed |