Inspection Detail

Inspection: 125779983 - Peterson Dean Roofing Systems

Inspection Information - Office: American Canyon District Office

Inspection Nr: 125779983

Report ID: 0950622

Date Opened: 10/09/2003

Site Address:
Peterson Dean Roofing Systems
14 Westchester Ct.
Oakley, CA 94561

Mailing Address:
7980 Enterprize Drive, Newark, CA 94560

Union Status: Union

SIC:1761

NAICS: 238160/Roofing Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 12/16/2003

Emphasis: S:Construction (Cship)

Case Closed: 12/23/2003

Related Activity
Type	Activity Nr	Safety	Health
Accident	362345332
Complaint	78262623	Yes

Investigation Summary

Investigation Nr: 201485950

Event: 09/21/2003

Employee is injured from 22 foot fall

On September 21, 2003, Employee #1, a roofer, was on a roof wearing fall protection (lanyard) and attempting to hook to an anchor. Before attaching to the anchor, he slipped on a piece of cardboard and lost balance. Employee #1 fell 22 feet to the ground, fracturing the right side of his face and femur. He was hospitalized for his injuries.

Keywords: ANCHOR, FRACTURE, SLIP, CONSTRUCTION, ROOFER, FALL, FALL PROTECTION, LOST BALANCE, WORK SURFACE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	125779983			Hospitalized injury	Fracture	Roofers

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