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Inspection Detail

Inspection: 315829697 - Simon Roofing & Sheet Metal Corp Dba Simon Roofing

Inspection Information - Office: American Canyon District Office

 

Inspection Nr: 315829697
Report ID: 0950615
Date Opened: 12/10/2012

Site Address:
Simon Roofing & Sheet Metal Corp Dba Simon Roofing
2200 Petaluma Boulevard North
Petaluma, CA 94952

Mailing Address:
70 Karago Avenue, Youngstown, OH 44512

Union Status: NonUnion

SIC:1761

NAICS: 238160/Roofing Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 01/30/2013

Emphasis:

Case Closed: 09/14/2013

Related Activity
Type Activity Nr Safety Health
Accident 102652013
Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 3 3
Current Violations 3 3
Initial Penalty $0 $0 $0 $5,750 $0 $5,750
Current Penalty $0 $0 $0 $3,150 $0 $3,150
FTA Penalty $0 $0 $0 $0 $0 $0

Violation Items
# 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 02/08/2013 02/13/2013 $3,000 $5,000 $0 03/06/2013 F - Formal Settlement  
2. 01002 Other 1675 C 02/08/2013 02/13/2013 $0 $600 $0 03/06/2013 F - Formal Settlement  
3. 01003 Other 3395 F03 02/08/2013 02/13/2013 $150 $150 $0 03/06/2013 W - Empr Withdrew  

Investigation Summary

Investigation Nr: 170766653
Event: 12/06/2012
Employee Falls from a Ladder and Fractures Disc

At approximately 10:00 a.m., on December 10, 2012, Employee #1 of Simon Roofing & Sheet Metal Corporation was climbing up a 20-foot fixed ladder alongside the exterior building to complete a roof repair. As Employee #1 reached an elevation of approximately 15-feet, he slipped and fell to the asphalt floor. Employee #1 was transported by emergency response personnel to Santa Rosa Memorial Hospital and hospitalized for treatment of L2 fractured disc.

Keywords: FRACTURE, ROOF, LADDER, FALL

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 315829697 Hospitalized injury Fracture Roofers
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