Inspection Detail

Case Status: CLOSED

Inspection: 1307602.015 - Champion Home Builders, Inc.

Inspection Information - Office: Jacksonville Area Office

Inspection Nr: 1307602.015

Report ID: 0419700

Date Opened: 04/10/2018

Site Address:
Champion Home Builders, Inc.
1915 Se Sr 100
Lake City, FL 32025

Mailing Address:
1915 Se Sr 100, Lake City, FL 32025

Union Status: NonUnion

SIC:

NAICS: 321991/Manufactured Home (Mobile Home) Manufacturing

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 04/10/2018

Emphasis: L:Fall

Case Closed: 05/07/2018

Related Activity
Type	Activity Nr	Safety	Health
Referral	1325701	Yes

Case Status: CLOSED

Investigation Summary

Investigation Nr: 104578.015

Event: 04/05/2018

Employee falls from mobile scaffolding and suffers several i

At 9:30 a.m. on April 5, 2018, an employee was nailing moving a mobile scaffold while standing on it and fell to the ground. The employee was hospitalized with a fractured collar bone and head injury.

Keywords: Collarbone, Fall, Fracture, Head, Roof, Scaffold, Scaffolding

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1307602.015	33	M	Hospitalized injury		Roofers: Helpers

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