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Inspection Detail
Inspection: 1232541.015 - Cisi Jeffery B
Inspection Information - Office: San Francisco District Office
Site Address:
Cisi Jeffery B
2942 Webster St.
San Francisco, CA 94123
Mailing Address:
801 Pepper Rd., Petaluma, CA 94952
Union Status: NonUnion
SIC:
NAICS: 236116/New Multifamily Housing Construction (except Operative Builders)
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/18/2017
Emphasis:
Case Closed: 02/05/2018
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1202855 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $0 | $0 | $0 | $760 | $0 | $760 |
| Current Penalty | $0 | $0 | $0 | $760 | $0 | $760 |
| 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 | 3276(E)(15) | 10/18/2017 | $435 | $435 | $0 | Z - Issued | |||
| 2. | 01002 | Other | 3276(F) | 10/18/2017 | 12/07/2017 | $325 | $325 | $0 | Z - Issued |
Investigation Summary
At 9:49 a.m. on April 13, 2017, Employee #1, employed by a construction company, was performing roofing work at a two-story residential home remodeling. He was climbing an extension ladder while carrying roofing materials in one hand. Employee #1 was approximately half way up the ladder when his foot slipped on a wet rung. Employee #1 fell approximately 20 to 25 feet. Emergency services were called, and Employee #1 was transported to the hospital. He was admitted and treated for back abrasions and a spinal hematoma.
Keywords: Abrasion, Back, Extension Ladder, Fall, Fall Protection, Material Handling, Residential Construction, Roof, Slippery Surface, Spine
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1232541.015 | 23 | M | Non Hospitalized injury | Carpenter |