Inspection Detail

Inspection: 120152178 - Old Country Roofing

Inspection Information - Office: Sacramento District Office

Inspection Nr: 120152178

Report ID: 0950621

Date Opened: 08/29/2003

Site Address:
Old Country Roofing
2912 Camero Drive
Lincoln, CA 95648

Mailing Address:
125 B Grobric Ct., Suisun, CA 94585

Union Status: NonUnion

SIC:1761

NAICS: 238160/Roofing Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 01/23/2004

Emphasis:

Case Closed: 01/23/2004

Related Activity
Type	Activity Nr	Safety	Health
Accident	362342727

Investigation Summary

Investigation Nr: 201174232

Event: 08/27/2003

Employee Dies from Aneurysm

On August 27, 2003, Employee #1 was working from a single-story residence installing vents. Suddenly, he collapsed to his knees complaining about a headache. Employee #1 was transported to the Sutter Memorial Hospital in Roseville, California where he died from an aneurysm.

Keywords: COLLAPSE, HEADACHE, CONSTRUCTION, ANEURYSM

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	120152178			Fatality	Other	Roofers

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