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Inspection Detail
Inspection: 1402764.015 - 142315 - Jose Montes Roofing Inc
Inspection Information - Office: Nc Department Of Labor - Winston-Salem
Site Address:
142315 - Jose Montes Roofing Inc
50 Pisgah Forest Circle
Greensboro, NC 27455
Mailing Address:
7659 Us Hwy 29, Browns Summit, NC 27214
Union Status: NonUnion
SIC:1761
NAICS: 238160/Roofing Contractors
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 09/13/2019
Emphasis:
Case Closed: 06/26/2020
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1457508 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 5 | 5 | ||||
| Current Violations | 5 | 5 | ||||
| Initial Penalty | $13,700 | $0 | $0 | $0 | $0 | $13,700 |
| Current Penalty | $7,600 | $0 | $0 | $0 | $0 | $7,600 |
| 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 | Serious | 95.129(01) | 09/13/2019 | 09/17/2019 | $1,680 | $2,100 | $0 | I - Informal Settlement | ||
| 2. | 01002 | Serious | 19260025 A | 09/13/2019 | 09/23/2019 | $720 | $900 | $0 | I - Informal Settlement | ||
| 3. | 01003 | Serious | 19260501 B13 | 09/13/2019 | 09/17/2019 | $2,240 | $2,800 | $0 | I - Informal Settlement | ||
| 4. | 01004 | Serious | 19260503 A01 | 09/13/2019 | 10/09/2019 | $2,240 | $7,000 | $0 | I - Informal Settlement | ||
| 5. | 01005 | Serious | 19261053 B16 | 09/13/2019 | 09/23/2019 | $720 | $900 | $0 | I - Informal Settlement |
Investigation Summary
On May 17, 2019, Employee #1, employed by a roofing company, was assigned to install shingles on a two-story residence's dormer roof. The dormer roof was approximately 12 inches wide, and Employee #1 had placed a board on that part of the roof to serve as a work platform while he placed the shingles. Employee #1 used a 32-foot extension ladder to access the dormer roof. As he moved off the ladder and onto the roof, he fell, a fall height of approximately 25 feet. He was not using fall protection when he fell. Emergency services transported Employee #1 to the hospital, where he died approximately four hours after the fall.
Keywords: Access/Egress, Extension Ladder, Fall, Fall Protection, Installing, Residential Construction, Roof Dormer, Roof Panel, Roofer, Work Platform
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1402764.015 | 51 | M | Fatality | Occupation not reported |