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Inspection Detail
Inspection: 1279862.015 - Forever Firewood, Inc.
Inspection Information - Office: Fremont District Office
Site Address:
Forever Firewood, Inc.
743 Grove St.
Monterey, CA 93940
Mailing Address:
46 El Pueblo Rd., Scotts Valley, CA 95066
Union Status: NonUnion
SIC:
NAICS: 238160/Roofing Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 12/27/2017
Emphasis:
Case Closed: 06/10/2019
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1286644 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 4 | 4 | ||||
| Current Violations | 4 | 4 | ||||
| Initial Penalty | $0 | $0 | $0 | $2,860 | $0 | $2,860 |
| Current Penalty | $0 | $0 | $0 | $1,960 | $0 | $1,960 |
| 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 | 43000040 A | 01/04/2018 | $500 | $500 | $0 | 01/10/2018 | F - Formal Settlement | ||
| 2. | 01002 | Other | 1509(A) | 01/04/2018 | $560 | $560 | $0 | 01/10/2018 | F - Formal Settlement | ||
| 3. | 01003 | Other | 3395(H)(1) | 01/04/2018 | $0 | $900 | $0 | 01/10/2018 | F - Formal Settlement | ||
| 4. | 01004 | Other | 3395(I)(1) | 01/04/2018 | $900 | $900 | $0 | 01/10/2018 | F - Formal Settlement |
Investigation Summary
At 1:20 p.m. on November 21, 2017, Employee #1, employed by a roofing company, was engaged in rehabilitation work at a residential structure. He was working near the edge of the roof and installing insulation when he fell, a fall height of 8.75 feet. Emergency services were called, and Employee #1 was transported to the hospital, admitted, and treated for face and back injuries.
Keywords: Fall, Fall Protection, Installing, Insulator, Leading Edge, Residential Construction, Roof
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1279862.015 | 51 | M | Hospitalized injury | Roofers: Helpers |