Inspection Detail

Case Status: CLOSED

Inspection: 1645362.015 - Wa317972205 - Skagit Roofing Llc

Inspection Information - Office: Dosh Everett Service Location, Everett, Wa

Inspection Nr: 1645362.015

Report ID: 1055310

Date Opened: 01/18/2023

Site Address:
Wa317972205 - Skagit Roofing Llc
632 Summit Pl
Sedro Woolley, WA 98284

Mailing Address:
Po Box 128, Bow, WA 98232

Union Status: NonUnion

SIC:

NAICS: 238160/Roofing Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 02/27/2023

Emphasis:

Case Closed: 04/24/2023

Related Activity
Type	Activity Nr	Safety	Health
Accident	1990613

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations			1	1		2
Current Violations			1	1		2
Initial Penalty	$0	$0	$15,000	$0	$0	$15,000
Current Penalty	$0	$0	$15,000	$0	$0	$15,000
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	Repeat	296-880-20005(6)	03/20/2023	01/18/2023	$15,000	$15,000	$0		Z - Issued
2.	02001	Other	296-800-32010	03/20/2023	01/18/2023	$0	$0	$0		Z - Issued

Investigation Summary

Investigation Nr: 153184.015

Event: 01/11/2023

Employee is killed in fall from roof

At 4:00 p.m. on January 11, 2023, an employee was on the upper structure of a roof cleaning out a gutter when he fell to the lower structure and fell again to the ground. The employee died due to his injuries.

Keywords: Blunt force, Blunt force trauma, Cleaning, Fall, Fall From Elevation, Gutter, Roof

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1645362.015	67	M	Fatality		Occupation not reported

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