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Inspection Detail
Inspection: 1279254.015 - Petersen-Dean, Inc.
Inspection Information - Office: American Canyon District Office
Site Address:
Petersen-Dean, Inc.
2038 Tempranillo Lane
Brentwood, CA 94513
Mailing Address:
39300 Civic Center Drive, Suite 300, Fremont, CA 94538
Union Status: NonUnion
SIC:
NAICS: 238160/Roofing Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 05/15/2018
Emphasis:
Case Closed: 07/30/2018
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1287066 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $850 | $0 | $850 |
| Current Penalty | $0 | $0 | $0 | $850 | $0 | $850 |
| 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 | 1509(A) | 05/15/2018 | $850 | $850 | $0 | Z - Issued |
Investigation Summary
At 9:30 a.m. on November 21, 2017, Employee #1, employed by a construction company, was engaged in a roof installation for a new residential structure. He lost his balance and fell, a fall height of 15 feet. Emergency services were called, and Employee #1 was transported to the hospital, admitted, and treated for multiple injuries, including fractures of his left leg and ankle and the lumbar spine.
Keywords: Ankle, Fall, Fall Protection, Fracture, Installing, Leg, Lost Balance, Residential Construction, Roof, Vertebra
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1279254.015 | 35 | M | Hospitalized injury | Roofers |