Inspection Detail

Inspection: 301128252 - California Custom Contractors, Inc.

Inspection Information - Office: American Canyon District Office

Inspection Nr: 301128252

Report ID: 0950622

Date Opened: 04/16/2007

Site Address:
California Custom Contractors, Inc.
270 Lakefield Place
Moraga, CA 94556

Mailing Address:
3253 De Young Lane, Lafayette, CA 94549

Union Status: NonUnion

SIC:1761

NAICS: 238160/Roofing Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 05/15/2007

Emphasis: S:Construction (Cship)

Case Closed: 06/06/2007

Related Activity
Type	Activity Nr	Safety	Health
Accident	101484921

Investigation Summary

Investigation Nr: 201489515

Event: 03/29/2007

Two Employees Are Injured in Fall

On March 26, 2007, Employees #1 and #2 were replacing dry rot on facia board. Employee #1 lost footing, Employee #2 tried to grab Employee #1. Both fell approximately 9 ft to brick driveway. Employee #1 sustained head trauma and was hospitalized at John Muir Medical Center. Employee #2 twisted his ankle but was not hospitalized.

Keywords: HEAD, FALL, CONCUSSION, LOST BALANCE, SPRAIN, ANKLE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	301128252			Hospitalized injury	Concussion	Occupation not reported

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