Inspection Detail

Inspection: 125700336 - Klm Roofing Products

Inspection Information - Office: Sacramento District Office

Inspection Nr: 125700336

Report ID: 0950621

Date Opened: 03/06/2000

Site Address:
Klm Roofing Products
8539 Daimler Way
Sacramento, CA 95825

Mailing Address:
8262 Alphine Ave., Ste. A, Sacramento, CA 95826

Union Status: NonUnion

SIC:1623

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 03/06/2000

Emphasis:

Case Closed: 05/11/2000

Related Activity
Type	Activity Nr	Safety	Health
Accident	361499312

Investigation Summary

Investigation Nr: 170869275

Event: 09/12/1999

Employee injured in fall from roof while tearing down gutter

At approximately 2:00 p.m. on September 12, 1999, Employee #1, a laborer for KLM Roofing Products, was tearing down a rain gutter from a roof when he fell, striking his head on concrete. He sustained head injuries, for which he was hospitalized for seven days.

Keywords: HEAD, ROOF, DISMANTLING, WORK RULES, CONSTRUCTION, FALL, FALL PROTECTION

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	125700336			Non Hospitalized injury	Concussion	Roofers

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