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Inspection Detail
Inspection: 312662406 - Evangeline Nicolas
Inspection Information - Office: Monrovia District Office
Site Address:
Evangeline Nicolas
17525 Balfern Ave
Bellflower, CA 90706
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:1521
NAICS: 236118/Residential Remodelers
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 11/18/2009
Emphasis:
Case Closed: 08/26/2010
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101807097 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | ||||||
| Initial Penalty | $0 | $0 | $0 | $5,000 | $0 | $5,000 |
| 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 | Other | 342 A | 03/18/2010 | 04/15/2010 | $0 | $5,000 | $0 | 03/30/2010 | F - Formal Settlement | Citation has been deleted. |
Investigation Summary
On September 19, 2009, Employee #1 fell about 8 ft while performing roofing work the patio roof of on a single-family residence. He was hospitalized at Lakewood Regional Hospital for fractured ribs. The home owner told investigators that Employee #1 and his coworker were sent to her house for the job by a Home Depot store, and provided a copy of the work estimate. An emergency responder was told by the employees at scene that the home owner had picked them up from the parking lot of the Home Depot for the patio job on day of the incident.
Keywords: FRACTURE, ROOF, RIB, ROOFER, FALL, FALL PROTECTION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 312662406 | Hospitalized injury | Fracture | Construction laborers |