Inspection Detail
Inspection: 313512873 - Tim Debolt Dba Debolt Termite & Pest Control
Inspection Information - Office: San Bernardino District Office
Site Address:
Tim Debolt Dba Debolt Termite & Pest Control
1437 Jackson Circle
San Jacinto, CA 92582
Mailing Address:
P O Box 5340, Hemet, CA 92544
Union Status: NonUnion
SIC:7342
NAICS: 561710/Exterminating and Pest Control Services
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 11/02/2011
Emphasis:
Case Closed: 02/15/2012
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102747672 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 3 | 3 | ||||
| Initial Penalty | $0 | $0 | $0 | $540 | $0 | $540 |
| Current Penalty | $0 | $0 | $0 | $540 | $0 | $540 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citation Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Other | 3203 A | 11/02/2011 | 12/05/2011 | $85 | $85 | $0 | - | ||
| 2. | 01002 | Other | 3210 C | 11/02/2011 | 12/05/2011 | $260 | $260 | $0 | - | ||
| 3. | 01003 | Other | 3276 E16 C | 11/02/2011 | 12/05/2011 | $195 | $195 | $0 | - |
Investigation Summary
At approximately 1:00 p.m. on May 23, 2011, Employee #1, a helper, was tiling a roof. The elevation from the edge of the roof to a concrete walkway was approximately 7.5 ft. As he descended the roof towards a ladder, he lost his footing and slid off the roof. Employee #1 fell and struck the concrete walkway, fracturing his ankle. He was taken to a medical center, where he underwent surgical procedures and was then hospitalized for postoperative care.
Keywords: FRACTURE, ROOF, SLIP, FALL, LOST BALANCE, ANKLE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 313512873 | Hospitalized injury | Fracture | Helpers, construction trades |
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