Inspection Detail

Case Status: CLOSED

Inspection: 1555887.015 - Champion Home Builders, Inc.

Inspection Information - Office: Jacksonville Area Office

Inspection Nr: 1555887.015

Report ID: 0419700

Date Opened: 10/01/2021

Site Address:
Champion Home Builders, Inc.
1915 Se State Road 100
Lake City, FL 32025

Mailing Address:
1915 Se State Road 100, Lake City, FL 32025

Union Status: NonUnion

SIC:

NAICS: 321991/Manufactured Home (Mobile Home) Manufacturing

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/06/2021

Emphasis: L:Fall

Case Closed: 06/28/2022

Related Activity
Type	Activity Nr	Safety	Health
Referral	1815647	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations				1		1
Initial Penalty	$7,925	$0	$0	$0	$0	$7,925
Current Penalty	$0	$0	$0	$4,755	$0	$4,755
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	Contest	Latest Event	Note
1.	01001	Other	19260451 E01	02/23/2022	04/08/2022	$4,755	$7,925	$0		I - Informal Settlement

Investigation Summary

Investigation Nr: 139793.015

Event: 09/23/2021

Employee breaks ankles in fall from roof to concrete floor

At 9:00 a.m. on September 23, 2021, an employee working as a production helper for a national mobile home builder had been rolling out a roll of underlayment paper onto a roof. The employee then climbed off the roof and stood on the catwalk to cut the underlayment just before the 9:00 a.m. break bell rang. The employee left the catwalk and headed down the stairs when he may have taken a fall from the stairs onto the concrete floor. The employee broke both ankles and was hospitalized.

Keywords: Ankle, Blunt force, Blunt force trauma, Broken Bone, Building, Catwalk, Concrete Floor, Construction, Fall, Fall From Elevation, Fracture, Manufacturing, Misjudgment, Misjudgment of Hazardous Situation, Mobile Home, Production Line, Residential Construction, Roof, Walking Surface

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1555887.015	40	M	Hospitalized injury		Production helpers

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