Inspection Detail

Inspection: 300834256 - Peterson Dean

Inspection Information - Office: Van Nuys District Office

Inspection Nr: 300834256

Report ID: 0950643

Date Opened: 06/01/2006

Site Address:
Peterson Dean
336 W. Alcazar
Santa Maria, CA 93456

Mailing Address:
21616 Golden Triangle Rd., Santa Clarita, CA 91350

Union Status: NonUnion

SIC:1761

NAICS: 238160/Roofing Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/13/2006

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 10/13/2006

Related Activity
Type	Activity Nr	Safety	Health
Accident	101113678
Accident	101113686

Investigation Summary

Investigation Nr: 202463592

Event: 05/04/2006

Employee Falls from Roof and Sustains Fractures

At approximately 12:00 p.m. on May 4, 2006, Employee #1 was walking on a two-story roof of a single family residence under construction placing metal valleys in position to be installed. Employee #1 stepped on a metal valley and his foot slipped causing him to loose his balance and fall 17 ft from the roof to the ground. Employee #1 sustained serious fractures to his face, arms, and legs. Employee #1 was hospitalized.

Keywords: FRACTURE, ROOF, SLIP, CONSTRUCTION, ROOFER, FALL, ARM, FACE, LOST BALANCE, LEG

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	300834256			Hospitalized injury	Fracture	Roofers

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