Inspection Detail
Inspection: 125758409 - Nicolynn Properties
Inspection Information - Office: American Canyon District Office
Site Address:
Nicolynn Properties
1136 Virginia Lane
Concord, CA 94518
Mailing Address:
189 Canham Road, Scotts Valley, CA 95066
Union Status: NonUnion
SIC:1761
NAICS: 238160/Roofing Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 12/09/2004
Emphasis: S:Construction (Cship)
Case Closed: 07/07/2006
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362328619 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 3 | 4 | |||
| Current Violations | 4 | 4 | ||||
| Initial Penalty | $10,800 | $0 | $0 | $5,200 | $0 | $16,000 |
| Current Penalty | $0 | $0 | $0 | $450 | $0 | $450 |
| 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 | 342 A | 12/28/2004 | 02/26/2005 | $0 | $5,000 | $0 | A - Amendment | ||
| 2. | 01002 | Other | 1509 A | 12/28/2004 | 02/26/2005 | $100 | $100 | $0 | A - Amendment | ||
| 3. | 01003 | Other | 1629 C03 | 12/28/2004 | 02/26/2005 | $100 | $100 | $0 | A - Amendment | ||
| 4. | 02001 | Other | 1670 A | 12/28/2004 | 02/26/2005 | $250 | $10,800 | $0 | A - Amendment |
Investigation Summary
Employee #1 and other employees were removing plywood sheathing. Employee #1 was standing over the eave of a building that was 2-feet by 6-feet. The rafter under Employee #1 collapsed causing him to fall 18 feet 3 inches to the ground. Employee #1 was not wearing fall protection. He sustained fractures to his right ankle and left knee and was hospitalized.
Keywords: KNEE, FRACTURE, BUILDING, COLLAPSE, RAFTER, FALL, FALL PROTECTION, ANKLE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 125758409 | Hospitalized injury | Fracture | Occupation not reported |
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