Inspection Detail

Inspection: 125475236 - Nova Designs Builds Inc

Inspection Information - Office: American Canyon District Office

Inspection Nr: 125475236

Report ID: 0950615

Date Opened: 03/20/2009

Site Address:
Nova Designs Builds Inc
7 Palm Ct
Larkspur, CA 94939

Mailing Address:
297 Kansas St Ste C, San Francisco, CA 94103

Union Status: NonUnion

SIC:1521

NAICS: 236115/New Single-Family Housing Construction (except Operative Builders)

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/14/2009

Planning Guide: Safety-Construction

Emphasis: S:Construction (Cship)

Case Closed: 03/05/2011

Related Activity
Type	Activity Nr	Safety	Health
Accident	101028389

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	3			2		5
Current Violations	2			3		5
Initial Penalty	$8,650	$0	$0	$610	$0	$9,260
Current Penalty	$6,300	$0	$0	$960	$0	$7,260
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	Other	1513 A	09/14/2009	09/17/2009	$350	$350	$0	09/24/2009	F - Formal Settlement
2.	01002	Other	1629 B01 A	09/14/2009	09/17/2009	$260	$260	$0	09/24/2009	F - Formal Settlement
3.	02001	Other	1509 A	09/14/2009	09/17/2009	$350	$2,350	$0	09/24/2009	F - Formal Settlement
4.	03001	Serious	1637 K01	09/14/2009	09/17/2009	$3,150	$3,150	$0	09/24/2009	F - Formal Settlement
5.	04001	Serious	1670 A	09/14/2009	09/17/2009	$3,150	$3,150	$0	09/24/2009	F - Formal Settlement

Investigation Summary

Investigation Nr: 170766802

Event: 03/19/2009

Employee Is Killed in Fall from Structure

On March 19, 2009, Employee #1, a carpenter, was using a string to make a level line and fell backwards 21 ft from the structure. He was pronounced dead upon arrival at a hospital.

Keywords: HEAD, ROOF, CARPENTER, STRUCK AGAINST, FALL, CONCUSSION

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	125475236			Fatality	Bruise/Contus/Abras	Carpenter apprentices

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