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Inspection Detail
Inspection: 119920288 - Western Foam, Inc
Inspection Information - Office: Sacramento District Office
Site Address:
Western Foam, Inc
1100 Marauder St
Chico, CA 95973
Mailing Address:
1465 Barry Rd, Yuba City, CA 95993
Union Status: NonUnion
SIC:1761
NAICS: 238160/Roofing Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 06/26/2013
Planning Guide: Safety-Construction
Emphasis:
Case Closed: 07/03/2015
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102684511 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | 2 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $13,500 | $0 | $0 | $5,000 | $0 | $18,500 |
| Current Penalty | $7,000 | $0 | $0 | $5,000 | $0 | $12,000 |
| 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 | 07/08/2013 | 07/11/2013 | $5,000 | $5,000 | $0 | 07/25/2013 | W - Empr Withdrew | |
| 2. | 02001 | Serious | 3212 E | 07/08/2013 | 07/11/2013 | $7,000 | $13,500 | $0 | 07/25/2013 | F - Formal Settlement |
Investigation Summary
On May 20, 2013, Employee #1, a supervisor employed by Western Foam, Inc., a roofing contractor, was performing roofing operations at a building construction site. He was moving a hose on the roof, at a height of 19 feet 8 inches, when he fell through a skylight. Emergency services were called, and he was transported to the hospital. He was admitted and treated for a fractured skull, a fractured right wrist, and a fractured right pelvis. The subsequent investigation determined that Employee #1 was not tied off, that is, he was not using a personal fall arrest system.
Keywords: SKYLIGHT, FRACTURE, ROOF, CARPENTER, CONSTRUCTION, SKULL, PELVIS, FALL, FALL PROTECTION, WRIST
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 119920288 | Hospitalized injury | Fracture | Supervisors; carpenters and related workers |