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Inspection Detail
Inspection: 1485628.015 - Champion Weatherproofing Corp.
Inspection Information - Office: San Bernardino District Office
Site Address:
Champion Weatherproofing Corp.
16380 Lois Lane
Riverside, CA 92504
Mailing Address:
6688 Van Buren Blvd., Riverside, CA 92503
Union Status: NonUnion
SIC:
NAICS: 238160/Roofing Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 12/03/2020
Emphasis:
Case Closed: 04/28/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1614545 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 3 | 3 | ||||
| Initial Penalty | $0 | $0 | $0 | $5,520 | $0 | $5,520 |
| Current Penalty | $0 | $0 | $0 | $1,150 | $0 | $1,150 |
| 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 | 342(A) | 12/04/2020 | $1,000 | $5,000 | $0 | 12/22/2020 | O - Administrative Law Judge Order | ||
| 2. | 01002 | Other | 3203(A) | 12/04/2020 | $75 | $260 | $0 | 12/22/2020 | J - ALJ Decision | ||
| 3. | 01003 | Other | 3395(I) | 12/04/2020 | $75 | $260 | $0 | 12/22/2020 | O - Administrative Law Judge Order |
Investigation Summary
At 10:00 a.m. on June 9, 2020, Employee #1 was working for a roofing contractor. Employee #1 was removing roofing tile from a single story residential roof with hand tools. Employee #1 was removing tiles about 2 feet from the edge of the roof when he lost his balance and fell to the ground below. Employee #1 suffered lumbar fractures as well as fractures to the ribs, face and fingers. Employee #1 was hospitalized.
Keywords: Back, Elevated, Elevated Work Plat, Elevated Work Platform, Face, Fall, Fall From Elevation, Finger, Fracture, Hand, Head, Hospital, Leading Edge, Lost Balance, Lumbar Fracture, Medical Attention, Nose, Platform, Rib, Roof, Roofing, Shingles, Spine, Tile
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1485628.015 | 28 | M | Hospitalized injury | Occupation Not Listed |