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Inspection Detail
Inspection: 1677962.015 - Cca Midwest, Inc.
Inspection Information - Office: Chicago South Area Office
Site Address:
Cca Midwest, Inc.
Lot 629 3151 Deering Bay Dr.
Naperville, IL 60564
Mailing Address:
2340 Newberg Road, Belvidere, IL 61008
Union Status: NonUnion
SIC:
NAICS: 238350/Finish Carpentry Contractors
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 06/20/2023
Emphasis: L:Fall
Case Closed: 09/25/2025
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 2044488 | ||
| Referral | 2042378 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | ||||||
| Initial Penalty | $15,625 | $0 | $0 | $0 | $0 | $15,625 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| 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 | Serious | 19260501 B13 | 09/14/2023 | $0 | $15,625 | $0 | I - Informal Settlement | Citation has been deleted. |
Investigation Summary
At 3:00 p.m. on June 14, 2023, Employee #1, who was a carpenter foreman, went on a roof that was above a garage to perform an unknown task. As Employee #1 was on the roof, the employee lost his balance, and fell approximately ten (10') feet eight (8") inches, and landed on his head. On June 21, 2023, Employee #1 was taken off life-support and died from the injuries related to the fall. Employee #1 sustained severe head trauma.
Keywords: Blunt force trauma, Carpenter, Fall, Fall From Elevation, Head, Lost Balance, Roof
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1677962.015 | 31 | M | Fatality | Carpenters |