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Inspection Detail
Inspection: 125625392 - Holmberg Roofing
Inspection Information - Office: American Canyon District Office
Site Address:
Holmberg Roofing
25 San Domingo
Novato, CA 94947
Mailing Address:
16 Cedar Grove Park, Petaluma, CA 94952
Union Status: NonUnion
SIC:1761
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 09/25/2001
Planning Guide: Safety-Construction
Emphasis: S:Construction (Cship)
Case Closed: 04/04/2005
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361596315 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | 2 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $5,400 | $0 | $0 | $150 | $0 | $5,550 |
| Current Penalty | $5,400 | $0 | $0 | $150 | $0 | $5,550 |
| 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 | 1509 A | 09/25/2001 | 10/25/2001 | $150 | $150 | $0 | 10/15/2001 | F - Formal Settlement | |
| 2. | 02001 | Serious | 1730 F | 09/25/2001 | 10/01/2001 | $5,400 | $5,400 | $0 | 10/01/2001 | F - Formal Settlement |
Investigation Summary
On September 18, 2001, Employee #1 and others were installing new plywood roof sheathing over existing skip-sheathing, preparing to install a new composition shingle roof. Employee #1 was nailing down plywood near the edge of the roof in the middle of the front of the house. Employee #1 was standing on the plywood while nailing it, facing up the roof with his back to the edge. Employee #1 fell, hitting his head on the concrete steps approximately 19 feet 5 inches below the roof edge and suffering fatal head injuries.
Keywords: HEAD, ROOF DECKING, ROOFER, FALL, CONCUSSION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 125625392 | Fatality | Other | Roofers |