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Inspection Detail
Inspection: 125613455 - Rjw Associates,Inc.,Dba Avalon Restoration Co.Inc.
Inspection Information - Office: San Francisco District Office
Site Address:
Rjw Associates,Inc.,Dba Avalon Restoration Co.Inc.
4103 Anza Street
San Francisco, CA 94121
Mailing Address:
801 Mahler Rd., Ste. E, Burlingame, CA 94010
Union Status: NonUnion
SIC:1521
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 03/05/2002
Planning Guide: Safety-Construction
Emphasis: S:Construction (Cship)
Case Closed: 07/30/2002
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361562325 | ||
| Accident | 361569767 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $50 | $0 | $50 |
| Current Penalty | $0 | $0 | $0 | $50 | $0 | $50 |
| 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 | 1512 B | 04/08/2002 | 05/11/2002 | $50 | $50 | $0 | - |
Investigation Summary
At about 11:56 a.m. on January 14, 2002, Employee #1, a laborer for Avalon Restoration Co. Inc., was working on a roof while talking to another employee. Employee #1 stepped onto a skylight and fell 15 feet onto a stairway. Employee #1 was hospitalized due to a concussion.
Keywords: SKYLIGHT, ROOF, FALL, CONCUSSION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 125613455 | Hospitalized injury | Concussion | Construction laborers |