Inspection Detail

Inspection: 125965624 - Oss Cim Inc Dba Royal Roofing

Inspection Information - Office: San Bernardino District Office

Inspection Nr: 125965624

Report ID: 0950633

Date Opened: 02/01/2002

Site Address:
Oss Cim Inc Dba Royal Roofing
9601 Lomita Court
Rancho Cucamonga, CA 91701

Mailing Address:
135 W Santa Fe Ave, Fullerton, CA 92832

Union Status: NonUnion

SIC:1761

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 05/09/2002

Emphasis: S:Construction (Cship)

Case Closed: 05/13/2002

Related Activity
Type	Activity Nr	Safety	Health
Accident	362451916

Investigation Summary

Investigation Nr: 201155751

Event: 12/10/2001

Employee injured from fall off of roof

At approximately 2:00 p.m. on December 10, 2001, Employee #1, a roofing contractor, was laying paper on the roof and walking backward. While using a stapler to attach the paper, he reached for the edge of the roof and lost his balance. He fell 17.5 ft to the concrete ground, suffering multiple fractures to his right leg. He was transported to a medical center and hospitalized for three days.

Keywords: FRACTURE, ROOF, ROOFER, FALL, FALL PROTECTION, LOST BALANCE, LEG

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	125965624			Hospitalized injury	Fracture	Construction laborers

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