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Inspection Detail
Inspection: 1570574.015 - Petersen Builders Inc
Inspection Information - Office: American Canyon District Office
Site Address:
Petersen Builders Inc
520 S. Cloverdale Blvd
Cloverdale, CA 95425
Mailing Address:
7706 A Bell Road, Windsor, CA 95492
Union Status: Union
SIC:
NAICS: 236115/New Single-Family Housing Construction (except Operative Builders)
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 06/24/2022
Emphasis:
Case Closed: 03/02/2026
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1847503 | ||
| Inspection | 1570587 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 4 | 6 | |||
| Current Violations | 1 | 3 | 4 | |||
| Initial Penalty | $15,300 | $0 | $0 | $1,200 | $0 | $16,500 |
| Current Penalty | $10,000 | $0 | $0 | $630 | $0 | $10,630 |
| 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 | 3203(A)(8) | 06/24/2022 | $0 | $300 | $0 | 07/12/2022 | O - Administrative Law Judge Order | Citation has been deleted. | |
| 2. | 01002 | Other | 3276(E)(15)(B) | 06/24/2022 | $300 | $300 | $0 | 07/12/2022 | O - Administrative Law Judge Order | ||
| 3. | 01003 | Other | 3395(H)(1) | 06/24/2022 | $30 | $300 | $0 | 07/12/2022 | O - Administrative Law Judge Order | ||
| 4. | 01004 | Other | 3395(I) | 06/24/2022 | $300 | $300 | $0 | 07/12/2022 | O - Administrative Law Judge Order | ||
| 5. | 02001 | Serious | 3276(E)(7) | 06/24/2022 | $0 | $2,700 | $0 | 07/12/2022 | O - Administrative Law Judge Order | Citation has been deleted. | |
| 6. | 03001 | Serious | 3276(E)(15)(A) | 06/24/2022 | $10,000 | $12,600 | $0 | 07/12/2022 | O - Administrative Law Judge Order |
Investigation Summary
At 2:45 p.m. on December 27, 2021, an employee worked to install a six-foot section of sheeting between a window and the corner of a building. The employee climbed a sixteen-foot extension ladder to reach the location of the work, which was placed on slippery and muddy ground. The employee stood on the top rung to nail in a twelve-inch by eight-foot strip of wood in place. When the employee began to work, the ladder shifted approximately an inch, which caused the employee to look down and see that the ladder was starting to kick outward. The employee attempted to grab ahold of the nearest window, missed, and fell approximately twelve feet, and struck a fire sprinkler standpipe on the way down. The employee asked to go home and shower, feeling stiffness after the fall. The employee then went to the hospital the next day and was treated for multiple contusions and abrasions to the lower back and buttocks.
Keywords: Abrasion, Back, Board, Buttocks, Climbing on Ladder, Contusion, Fall, Fall From Elevation, Fire Ext System, Hammer , Installing, Ladder, Nail, Struck Against
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1570574.015 | 44 | M | Hospitalized injury | Carpenters |