Inspection Detail

Case Status: CLOSED

Inspection: 1262056.015 - North Counties Development Corporation

Inspection Information - Office: Sacramento District Office

Inspection Nr: 1262056.015

Report ID: 0950621

Date Opened: 09/07/2017

Site Address:
North Counties Development Corporation
8701 East Rd.
Potter Valley, CA 95469

Mailing Address:
425 Talmage Rd., Ukiah, CA 95482

Union Status: NonUnion

SIC:

NAICS: 238910/Site Preparation Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/30/2017

Emphasis:

Case Closed: 08/06/2018

Related Activity
Type	Activity Nr	Safety	Health
Accident	1256878

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations	1			1		2
Initial Penalty	$4,050	$0	$0	$5,000	$0	$9,050
Current Penalty	$2,700	$0	$0	$1,500	$0	$4,200
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citation Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Other	342(A)	11/08/2017		$1,500	$5,000	$0	11/21/2017	F - Formal Settlement
2.	02001	Serious	1670(A)	11/08/2017		$2,700	$4,050	$0	11/21/2017	F - Formal Settlement

Investigation Summary

Investigation Nr: 98861.015

Event: 05/13/2017

Worker falls from roof, fractures arm and elbow

At 3:30 p.m. on May 13, 2017, Employee #1, employed by a construction company, was engaged in waterproofing at a building worksite. He was on the roof and applying caulking to metal seams when he slipped and fell, a fall height of 10 feet. Emergency services were called, and Employee #1 was transported to the hospital. He was admitted and treated for fractures to his right arm and elbow, and lacerations to his left leg.

Keywords: Building, Construction, Fall, Fall Protection, Installing, Roof, Roof Seamer, Roofer, Seal, Slip

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1262056.015	46	M	Hospitalized injury		Roofers

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