Inspection Detail

Case Status: CLOSED

Inspection: 1577481.015 - Rubio Roofing Llc

Inspection Information - Office: Appleton Area Office

Inspection Nr: 1577481.015

Report ID: 0521100

Date Opened: 02/10/2022

Site Address:
Rubio Roofing Llc
69 8th Street
Fond Du Lac, WI 54935

Mailing Address:
701 W 7th Street, Kaukauna, WI 54130

Union Status: NonUnion

SIC:

NAICS: 238160/Roofing Contractors

Inspection Type: Planned

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 02/10/2022

Emphasis: P:Fall, L:Fall

Case Closed: 10/07/2024

Related Activity
Type	Activity Nr	Safety	Health
Inspection	1573555	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations	1					1
Initial Penalty	$6,837	$0	$0	$0	$0	$6,837
Current Penalty	$2,176	$0	$0	$0	$0	$2,176
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citation Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Serious	19260503 A01	05/20/2022	01/30/2023	$2,176	$4,351	$0		I - Informal Settlement
2.	01002	Serious	19261053 B13	05/20/2022	06/21/2022	$0	$2,486	$0		I - Informal Settlement	Citation has been deleted.

Investigation Summary

Investigation Nr: 146090.015

Event: 01/17/2022

Employee Sustains Multiple Injuries In Fall From Roof

At 8:15 a.m. on January 17, 2022, an employee was in the process of installing reusable roof fall protection anchors on a two-story residence prior to beginning work on roofing construction activities. Due to slippery conditions, the employee slipped and fell 20 feet off the roof to the ground. The employee sustained contusions and injuries to his knee and spine, requiring hospitalization.

Keywords: Anchor, Contusion, Fall, Fall From Elevation, Fall Protection, Knee, Residential Construction, Roofer, Slip, Slippery Surface, Spine

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1577481.015	26	M	Hospitalized injury		Roofers

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