Inspection Detail
Inspection: 1362585.015 - Guardian Spray Foam, Inc.
Inspection Information - Office: Modesto District Office
Site Address:
Guardian Spray Foam, Inc.
930 S. Sacramento Street
Lodi, CA 95240
Mailing Address:
3860 E. Calimyrna Road, Acampo, CA 95220
Union Status: NonUnion
SIC:
NAICS: 326150/Urethane and Other Foam Product (except Polystyrene) Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 02/04/2019
Emphasis:
Case Closed: 04/09/2019
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1399492 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $0 | $0 | $0 | $900 | $0 | $900 |
| Current Penalty | $0 | $0 | $0 | $900 | $0 | $900 |
| 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 | 3203(A)(7)(B) | 02/25/2019 | 03/21/2019 | $300 | $300 | $0 | Z - Issued | ||
| 2. | 01002 | Other | 3395(I)(2) | 02/25/2019 | 03/21/2019 | $600 | $600 | $0 | Z - Issued |
Investigation Summary
At 12:00 p.m. on December 11, 2017, an employee E#1 was on the roof. The employee walked over a skylight and fell through approximately 30 feet to the cement below, resulting in fractures to both heels.
Keywords: Fall, Foot, Fracture, Skylight
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1362585.015 | 36 | M | Non Hospitalized injury | Laborers, except construction |
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