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Inspection Detail
Inspection: 125969816 - Jerry'S Roofing, Inc.
Inspection Information - Office: San Bernardino District Office
Site Address:
Jerry'S Roofing, Inc.
12755 Farndon Street
Chino, CA 91710
Mailing Address:
22622 Juniper Road, Perris, CA 92570
Union Status: NonUnion
SIC:1761
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 04/29/2002
Emphasis:
Case Closed: 07/29/2002
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362370751 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $175 | $0 | $175 |
| Current Penalty | $0 | $0 | $0 | $100 | $0 | $100 |
| 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 | 04/29/2002 | 05/13/2002 | $100 | $175 | $0 | I - Informal Settlement |
Investigation Summary
At approximately 3:45 p.m. on November 15, 2001, Employee #1 was installing plywood upon the roof of a building when he lost his balance and fell. He fell approximately 17.8 ft, hitting the edge of an empty pool and descending another 10 ft into the pool. The force of his impact upon ground caused multiple injuries. These injuries included head trauma and a dislocated elbow. He was transported to a medical center and was hospitalized for six days.
Keywords: INSTALLING, ROOF, WOOD PANEL, DISLOCATED, FALL, FALL PROTECTION, ELBOW, LOST BALANCE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 125969816 | Hospitalized injury | Other | Roofers |