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Inspection Detail
Inspection: 300753563 - Custom Home Industries, Inc
Inspection Information - Office: American Canyon District Office
Site Address:
Custom Home Industries, Inc
208 Fuschia Way
Healdsburg, CA 95448
Mailing Address:
1400 North Dutton Ste 14, Santa Rosa, CA 95401
Union Status: NonUnion
SIC:1522
NAICS: 236118/Residential Remodelers
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/20/2011
Emphasis:
Case Closed: 12/27/2012
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102648672 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $5,000 | $0 | $5,000 |
| Current Penalty | $0 | $0 | $0 | $1,500 | $0 | $1,500 |
| 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 | 342 A | 10/24/2011 | 10/27/2011 | $1,500 | $5,000 | $0 | 11/15/2011 | F - Formal Settlement |
Investigation Summary
On June 17, 2011, Employee #1 was working as a laborer for a construction company working at a private residence that was being remodeled. Employee #1 was assisting coworkers to prepare the site for a concrete pour in the backyard of the residence. Employee #1 tripped on a wooden form and fell on to his left thigh and buttock, causing bruising. Employee #1 went home and noticed that the bruised area had turned red. Three days later, the injured area was swollen, and Employee #1 went to the Kaiser Santa Rosa Occupational Medicine Clinic. Employee #1 was hospitalized and received antibiotics. He was discharged on June 28, 2011. The Santa Rosa District Occupational Safety and Health Office was notified of the accident on July 1, 2011, and initiated an investigation on July 8, 2011.
Keywords: BUTTOCKS, THIGH, TRIPPED, ABRASION, FALL, CONTUSION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 300753563 | Hospitalized injury | Bruise/Contus/Abras | Occupation not reported |