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Inspection Detail
Inspection: 1275080.015 - Jeff Crowson
Inspection Information - Office: American Canyon District Office
Site Address:
Jeff Crowson
1320 North 1st Street
Dixon, CA 95620
Mailing Address:
7301 Summerwood Lane, Vacaville, CA 95688
Union Status: NonUnion
SIC:
NAICS: 238160/Roofing Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 04/10/2018
Emphasis:
Case Closed: 06/28/2018
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1280639 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 5 | 5 | ||||
| Current Violations | 5 | 5 | ||||
| Initial Penalty | $0 | $0 | $0 | $5,600 | $0 | $5,600 |
| Current Penalty | $0 | $0 | $0 | $1,600 | $0 | $1,600 |
| 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) | 04/10/2018 | $1,000 | $5,000 | $0 | 04/24/2018 | F - Formal Settlement | ||
| 2. | 01002 | Other | 1509(A) | 04/10/2018 | $150 | $150 | $0 | Z - Issued | |||
| 3. | 01003 | Other | 1509(C) | 04/10/2018 | $150 | $150 | $0 | Z - Issued | |||
| 4. | 01004 | Other | 1512(B) | 04/10/2018 | $150 | $150 | $0 | Z - Issued | |||
| 5. | 01005 | Other | 3395(I) | 04/10/2018 | $150 | $150 | $0 | Z - Issued |
Investigation Summary
At 8:15 a.m. on October 28, 2017, Employee #1 and Coworkers #1 and #2, employed by a roofing company, were installing a TPO roofing membrane to the roof of a one-story auto parts department. The roof had a 1 in 12 pitch. As Employee #1 walked forward and rolled out the material, he fell, a fall height of 12 feet. Emergency services were called, and Employee #1 was transported to the hospital. He was admitted and treated for a torn tendon in his left foot and a back injury.
Keywords: Back, Construction, Fall, Foot, Repair, Roof, Roofer, Tendon, Work Surface
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1275080.015 | 33 | M | Hospitalized injury | Roofers |