Inspection Detail

Case Status: CLOSED

Inspection: 1284479.015 - Ace Roofing System Co

Inspection Information - Office: Santa Ana District Office

Inspection Nr: 1284479.015

Report ID: 0950631

Date Opened: 12/20/2017

Site Address:
Ace Roofing System Co
4372 Dina Ct.
Cypress, CA 90630

Mailing Address:
15942 Alta Vista Dr Unit B, La Mirada, CA 90638

Union Status: NonUnion

SIC:

NAICS: 238160/Roofing Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 02/20/2018

Emphasis:

Case Closed: 05/14/2018

Related Activity
Type	Activity Nr	Safety	Health
Accident	1283991

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				2		2
Current Violations				2		2
Initial Penalty	$0	$0	$0	$750	$0	$750
Current Penalty	$0	$0	$0	$750	$0	$750
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	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(E)	02/21/2018	03/19/2018	$375	$375	$0		Z - Issued
2.	01002	Other	3395(I)	02/21/2018	03/19/2018	$375	$375	$0		Z - Issued

Investigation Summary

Investigation Nr: 103256.015

Event: 11/13/2017

Employee falls while descending from roof and incurs lacerat

At 12:00 p.m. on November 13, 2017, Employee #1, employed by a roofing company, was engaged in roofing work at a residential structure. He began to descend for lunch, first moving from the roof to the top of a dump truck parked alongside the building, then stepping onto the edge of the truck trailer to access the truck's ladder and climb down. Employee #1 slipped, fell, and landed in the truck trailer, a fall height of 6 feet. He was transported to a hospital, where he was treated for a 10-inch laceration extending from his forehead to the back of his head. He was released without hospitalization.

Keywords: Descending, Face, Fall, Fall Protection, Forehead, Head, Laceration, Residential Construction, Roof, Slip

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1284479.015	63	M	Non Hospitalized injury		Roofers

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