Inspection Detail

Case Status: CLOSED

Inspection: 1235267.015 - Unique Design Homes

Inspection Information - Office: Sacramento District Office

Inspection Nr: 1235267.015

Report ID: 0950621

Date Opened: 05/25/2017

Site Address:
Unique Design Homes
8755 Serville Circle
Loomis, CA 95650

Mailing Address:
6430 Lookout Pass Court, Rocklin, CA 95765

Union Status: NonUnion

SIC:

NAICS: 236118/Residential Remodelers

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 08/30/2017

Emphasis:

Case Closed: 03/15/2019

Related Activity
Type	Activity Nr	Safety	Health
Accident	1204985

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations				2		2
Initial Penalty	$10,800	$0	$0	$5,000	$0	$15,800
Current Penalty	$0	$0	$0	$5,525	$0	$5,525
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	Note
1.	01001	Other	342(A)	10/10/2017		$5,000	$5,000	$0	11/08/2017	O - Administrative Law Judge Order
2.	02001	Other	1646(E)	10/10/2017		$525	$10,800	$0	11/08/2017	O - Administrative Law Judge Order

Investigation Summary

Investigation Nr: 95854.015

Event: 04/24/2017

Employee fractures pelvis in 15 foot fall off scaffold

At 3:00 p.m. on April 24, 2017, Employee #1 was dismantling a scaffold and removed one of the two platforms from the top of the scaffold. The employee decided to fix a portion of the wall that he noticed while dismantling. Employee #1 climbed back up to top of scaffold to spackle the wall. He forgot that he had removed the platform, and fell approximate 15 feet, hitting the scaffold on the way down. Employee #1 sustained a fractured pelvis.

Keywords: Dismantling, Elevated Work Platform, Fall, Fall Protection, Fracture, Pelvis, Scaffold, Struck Against

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1235267.015	39	M	Hospitalized injury		Laborers, except construction

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