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Inspection Detail
Inspection: 1555655.015 - Full Coverage Company
Inspection Information - Office: American Canyon District Office
Site Address:
Full Coverage Company
446 Panoramic Highway
Mill Valley, CA 94941
Mailing Address:
68 Shelley Drive, Mill Valley, CA 94941
Union Status: NonUnion
SIC:
NAICS: 238160/Roofing Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 03/23/2022
Emphasis:
Case Closed: 04/08/2024
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1817523 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 5 | 9 | 14 | |||
| Current Violations | 2 | 12 | 14 | |||
| Initial Penalty | $28,800 | $0 | $0 | $4,500 | $0 | $33,300 |
| Current Penalty | $12,600 | $0 | $0 | $1,500 | $0 | $14,100 |
| 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 | 1509(A) | 03/23/2022 | $100 | $500 | $0 | 04/22/2022 | O - Administrative Law Judge Order | ||
| 2. | 01002 | Other | 1509(B) | 03/23/2022 | $100 | $500 | $0 | 04/22/2022 | O - Administrative Law Judge Order | ||
| 3. | 01003 | Other | 1512(B) | 03/23/2022 | $100 | $500 | $0 | 04/22/2022 | O - Administrative Law Judge Order | ||
| 4. | 01004 | Other | 1670(B)(15) | 03/23/2022 | $100 | $500 | $0 | 04/22/2022 | O - Administrative Law Judge Order | ||
| 5. | 01005 | Other | 3276(E)(9) | 03/23/2022 | $100 | $500 | $0 | 04/22/2022 | O - Administrative Law Judge Order | ||
| 6. | 01006 | Other | 3276(F) | 03/23/2022 | $100 | $500 | $0 | 04/22/2022 | O - Administrative Law Judge Order | ||
| 7. | 01007 | Other | 3583(A) | 03/23/2022 | $100 | $500 | $0 | 04/22/2022 | O - Administrative Law Judge Order | ||
| 8. | 01008 | Other | 3395(H) | 03/23/2022 | $100 | $500 | $0 | 04/22/2022 | O - Administrative Law Judge Order | ||
| 9. | 01009 | Other | 3395(I) | 03/23/2022 | $100 | $500 | $0 | 04/22/2022 | O - Administrative Law Judge Order | ||
| 10. | 02001 | Other | 1648(A) | 03/23/2022 | $200 | $4,500 | $0 | 04/22/2022 | O - Administrative Law Judge Order | ||
| 11. | 03001 | Other | 1648(B) | 03/23/2022 | $200 | $4,500 | $0 | 04/22/2022 | O - Administrative Law Judge Order | ||
| 12. | 04001 | Other | 1648(D) | 03/23/2022 | $200 | $4,500 | $0 | 04/22/2022 | O - Administrative Law Judge Order | ||
| 13. | 05001 | Serious | 1670(A) | 03/23/2022 | $10,800 | $10,800 | $0 | 04/22/2022 | O - Administrative Law Judge Order | ||
| 14. | 06001 | Serious | 3276(E)(16)(C) | 03/23/2022 | $1,800 | $4,500 | $0 | 04/22/2022 | O - Administrative Law Judge Order |
Investigation Summary
At 12:30 p.m. on September 28, 2021, an employee worked with five coworkers to install a metal roof. At some point, the employee began to fall off the roof, the employee's lanyard was cut by the metal roof edge, and the employee fell approximately thirty-two feet. The employee was hospitalized to treat severe head trauma (multiple fractures, edema), a rib fracture, and a hemopneumothorax (internal bleeding).
Keywords: Bleeding, Cut, Fall, Fall From Elevation, Fall Protection, Fracture, Head, Installing, Internal Bleeding, Internal Injuries, Lanyard, Metal, Rib, Roof, Roofer
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1555655.015 | 25 | M | Hospitalized injury | Roofers |