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Inspection Detail
Inspection: 1440549.015 - Robert Kulesza Dba Super Remodeling, Inc.
Inspection Information - Office: Chicago North Area Office
Site Address:
Robert Kulesza Dba Super Remodeling, Inc.
2121 Ashland Ave.
Evanston, IL 60201
Mailing Address:
3008 N. 77th Ave, Elmwood Park, IL 60707
Union Status: NonUnion
SIC:
NAICS: 238160/Roofing Contractors
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 01/16/2020
Emphasis: L:Fall
Case Closed: 03/23/2022
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1512256 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 3 | 4 | |||
| Current Violations | 1 | 3 | 4 | |||
| Initial Penalty | $4,048 | $0 | $0 | $5,784 | $0 | $9,832 |
| Current Penalty | $3,400 | $0 | $0 | $4,800 | $0 | $8,200 |
| 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 | 19261053 B05 I | 01/30/2020 | $3,400 | $4,048 | $0 | I - Informal Settlement | |||
| 2. | 02001 | Other | 19040039 A01 | 01/30/2020 | $2,400 | $2,892 | $0 | I - Informal Settlement | |||
| 3. | 02002 | Other | 19040039 A02 | 01/30/2020 | $2,400 | $2,892 | $0 | I - Informal Settlement | |||
| 4. | 02003 | Other | 19261053 B16 | 01/30/2020 | 02/05/2020 | $0 | $0 | $0 | I - Informal Settlement |
Investigation Summary
At 7:45 p.m. on October 17, 2019, an employee was working as a roofer. At an unspecified point, the employee either fell approximately twenty feet from the roof or an access ladder (no witnesses were present.) The employee received severe head and body blunt force trauma. The employee was taken to a local hospital, where he later died of his injuries.
Keywords: Blunt force trauma, Fall, Fall Protection, Head, Ladder, Roof, Roofer, Torso
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1440549.015 | 61 | M | Fatality |