Inspection Detail

Inspection: 125756643 - Old Country Roofing

Inspection Information - Office: American Canyon District Office

Inspection Nr: 125756643

Report ID: 0950622

Date Opened: 04/19/2004

Site Address:
Old Country Roofing
Petersen Ranch Classics, Lot #20
Fairfield, CA 94533

Mailing Address:
190 S. Orchard Ave., Ste. B101, Vacaville, CA 95688

Union Status: NonUnion

SIC:1761

NAICS: 238160/Roofing Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 05/19/2004

Emphasis: S:Construction (Cship)

Case Closed: 05/25/2004

Related Activity
Type	Activity Nr	Safety	Health
Accident	362345092

Investigation Summary

Investigation Nr: 201486313

Event: 03/22/2004

Employee Trips And Falls From Roof

Employee #1 was laying chalk lines for tile installation on one story roof. Employee #1 stepped down from the upper part to the lower part of the roof. Employee #1's pants leg caught the gutter of the lower roof. The Employee fell 10 ft to the ground and landed on a wood pile. Employee #1 sustained a broken left femur and was hospitalized for seven days.

Keywords: CLOTHING, FRACTURE, ROOF, CAUGHT BY, TRIPPED, FALL, ARM

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	125756643			Hospitalized injury	Fracture	Roofers

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