Inspection Detail

Inspection: 316817667 - B & M Tear Off

Inspection Information - Office: American Canyon District Office

Inspection Nr: 316817667

Report ID: 0950622

Date Opened: 06/05/2013

Site Address:
B & M Tear Off
1200 W. 4th St
Antioch, CA 94509

Mailing Address:
2420 Sand Creek Rd, Brentwood, CA 94513

Union Status: Union

SIC:1761

NAICS: 238160/Roofing Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 08/26/2013

Emphasis:

Case Closed: 08/29/2015

Related Activity
Type	Activity Nr	Safety	Health
Accident	102694205

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2			1		3
Current Violations	2			1		3
Initial Penalty	$22,050	$0	$0	$675	$0	$22,725
Current Penalty	$22,050	$0	$0	$675	$0	$22,725
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
1.	01001	Other	3212 B	08/30/2013	08/26/2013	$675	$675	$0	09/30/2013	F - Formal Settlement
2.	02001	Serious	1511 B	08/30/2013	08/30/2013	$4,050	$4,050	$0	09/30/2013	F - Formal Settlement
3.	03001	Serious	1730 B01	08/30/2013	08/30/2013	$18,000	$18,000	$0	09/30/2013	F - Formal Settlement

Investigation Summary

Investigation Nr: 202509881

Event: 06/03/2013

Employee Falls from Roof, Later Dies

On June 3, 2013, Employee #1 was performing decking on a roof. The employee stepped on dry rot wooden deck roofing that collapsed causing Employee #1 to fall approximately 24 ft, landing on a concrete floor. The employee was airlifted to John Muir Hospital, where he was treated for head and shoulder fractures. Employee #1 later died of his injuries.

Keywords: DECKING, FRACTURE, HEAD, ROOF, SHOULDER, FALL

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	316817667			Hospitalized injury	Fracture	Carpenters

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