Inspection Detail

Case Status: CLOSED

Inspection: 1476675.015 - Bill Jack Roofing Company

Inspection Information - Office: Tampa Area Office

Inspection Nr: 1476675.015

Report ID: 0420600

Date Opened: 05/28/2020

Site Address:
Bill Jack Roofing Company
1141 Pierce St.
Clearwater, FL 33756

Mailing Address:
9664 56th St., N., Pinellas Park, FL 33782

Union Status: NonUnion

SIC:

NAICS: 238160/Roofing Contractors

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 05/28/2020

Emphasis: L:Fall

Case Closed: 09/14/2020

Related Activity
Type	Activity Nr	Safety	Health
Referral	1597736	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations	1			1		2
Initial Penalty	$4,048	$0	$0	$0	$0	$4,048
Current Penalty	$4,048	$0	$0	$0	$0	$4,048
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	Latest Event
1.	01001A	Serious	19260501 B04 I	06/25/2020		$4,048	$4,048	$0	Z - Issued
2.	01001B	Serious	19260501 B10	06/25/2020	07/22/2020	$0	$0	$0	Z - Issued
3.	02001	Other	19260503 B01	06/25/2020	07/22/2020	$0	$0	$0	Z - Issued

Investigation Summary

Investigation Nr: 126811.015

Event: 05/28/2020

Employee falls through skylight and fractures head

At 12:00 p.m. on May 28, 2020, Employee #1 was working for a roofing contractor. Employee #1 was removing the old roofing material when he fell through a skylight to the concrete floor below. Employee #1 suffered a head fracture and was hospitalized.

Keywords: Elevated, Elevated Work Plat, Elevated Work Platform, Fall, Fall From Elevation, Fracture, Head, Hole, Opening, Roof, Roof Opening, Roofing, Skylight, Traumatic, Traumatic Brain Injury

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1476675.015	24	M	Hospitalized injury		Roof Repar: Shingle

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