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Inspection Detail
Inspection: 125805564 - Custom Roofing
Inspection Information - Office: American Canyon District Office
Inspection Nr: 125805564
Report ID: 0950622
Date Opened: 04/19/2000
Site Address:
Custom Roofing
3640 Gallagher Circle
Antioch, CA 94509
Mailing Address:
4705 Crestone Needle Way, Antioch, CA 94509
Union Status: NonUnion
SIC:1761
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 05/25/2000
Emphasis:
Case Closed: 08/23/2000
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362087660 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 3 | 3 | ||||
| Initial Penalty | $0 | $0 | $0 | $260 | $0 | $260 |
| Current Penalty | $0 | $0 | $0 | $260 | $0 | $260 |
| 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 | 05/31/2000 | 05/31/2000 | $175 | $175 | $0 | - | ||
| 2. | 01002 | Other | 3203 A | 05/31/2000 | 07/13/2000 | $85 | $85 | $0 | - | ||
| 3. | 01003 | Other | 1730 C | 05/31/2000 | 07/18/2000 | $0 | $0 | $0 | - |
Investigation Summary
Investigation Nr: 201482890
Event: 12/03/1999
Employee sustained fractured hip and elbow in fall from roof
On December 3, 1999, Employee #1 sustained a fractured right hip and right elbow when he fell approximately 18 ft from the roof of a residence while performing roofing activities. Employee #1 was hospitalized.
Keywords: FRACTURE, ROOF, CONSTRUCTION, FALL, ELBOW, HIP
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 125805564 | Hospitalized injury | Fracture | Roofers |