Inspection Detail

Inspection: 300826849 - Applied Roof Engineering

Inspection Information - Office: Van Nuys District Office

Inspection Nr: 300826849

Report ID: 0950643

Date Opened: 03/17/2004

Site Address:
Applied Roof Engineering
39345 10th St. West
Palmdale, CA 93550

Mailing Address:
211 Pearl Street, Corona, CA 92829

Union Status: NonUnion

SIC:1761

NAICS: 238160/Roofing Contractors

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/07/2004

Planning Guide: Safety-Construction

Emphasis: S:Construction (Cship)

Case Closed: 09/20/2004

Related Activity
Type	Activity Nr	Safety	Health
Accident	362524274

Investigation Summary

Investigation Nr: 201117553

Event: 03/05/2004

Employee is injured in fall from ladder

At approximately 1:30 p.m. on March 5, 2004, Employee #1 was standing midway up an 8-ft stepladder set on a flat roof applying mastic to the tabs of shingles. He lost his balance and fell approximately 4 ft to the roof, catching his leg on a ladder rung as he tried to land on his feet instead of his back. Employee #1 was hospitalized at Antelope Valley Hospital for a fractured right tibia and fibula.

Keywords: FRACTURE, ROOF, STEPLADDER, LADDER, FALL, LEG

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	300826849			Hospitalized injury	Fracture	Roofers

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