Inspection Detail

Inspection: 115411324 - Christine L Johnson Dba Pole Bldg Specialists Inc

Inspection Information - Office: Dosh Everett Service Location, Everett, Wa

Inspection Nr: 115411324

Report ID: 1055310

Date Opened: 12/20/1995

Site Address:
Christine L Johnson Dba Pole Bldg Specialists Inc
112 Ohio Street
Bellingham, WA 98225

Mailing Address:
Po Box 967, Ferndale, WA 98248

Union Status: NonUnion

SIC:5211

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 03/15/1996

Emphasis:

Case Closed: 12/31/2001

Related Activity
Type	Activity Nr	Safety	Health
Accident	361223712

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1		1	2		4
Current Violations	1		1	2		4
Initial Penalty	$2,400	$0	$160	$0	$0	$2,560
Current Penalty	$2,400	$0	$160	$0	$0	$2,560
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
1.	01001	Serious	1552450302 J	04/25/1996	03/15/1996	$2,400	$2,400	$0	05/13/1996	J - ALJ Decision
2.	02001	Repeat	1552450304 A	04/25/1996	03/15/1996	$160	$160	$0	05/13/1996	J - ALJ Decision
3.	03001	Other	1550011007	04/25/1996	03/15/1996	$0	$0	$0	05/13/1996	J - ALJ Decision
4.	03002	Other	1550011009 B	04/25/1996	03/15/1996	$0	$0	$0	05/13/1996	J - ALJ Decision

Investigation Summary

Investigation Nr: 170239792

Event: 12/19/1995

Employee killed in fall through roof

At approximately 3:00 p.m. on December 19, 1995, Employee #1 was reroofing a building in Bellingham, WA. Because the vertical lifeline that was part of his fall protection system would not reach the roof access ladder, he disconnected himself from the lifeline. While walking backward toward the ladder, he stepped on part of the old corrugated fiberglass roofing. He fell approximately 20 ft through the roof and onto the concrete floor. Employee #1 died the next day.

Keywords: ROOF COLLAPSE, ROOF, WORK RULES, ROOFER, FALL, FALL PROTECTION, WALKING BACKWARD

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	115411324			Fatality	Concussion	Occupation not reported

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