Inspection Detail

Inspection: 111803607 - Security Roofing Systems

Inspection Information - Office: Foster City District Office

Inspection Nr: 111803607

Report ID: 0950613

Date Opened: 01/02/1996

Site Address:
Security Roofing Systems
5201 Admiralty Lane
Foster City, CA 94404

Mailing Address:
677 Kings Row, San Jose, CA 95112

Union Status: NonUnion

SIC:1761

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 01/06/1996

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 01/06/1996

Related Activity
Type	Activity Nr	Safety	Health
Accident	362303802

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				2		2
Current Violations				2		2
Initial Penalty	$0	$0	$0	$200	$0	$200
Current Penalty	$0	$0	$0	$200	$0	$200
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	3203 B02	05/17/1996	01/17/1996	$100	$100	$0		-
2.	01002	Other	1730 B08	05/17/1996	01/17/1996	$100	$100	$0		-

Investigation Summary

Investigation Nr: 170378434

Event: 12/07/1995

Employee injured in fall from roof

At approximately 4:10 p.m. on December 7, 1995, Employee #1, of Security Roofing Systems, was sent to the roof of a building to cover stripped areas with Visaqueen plastic sheets as protection from the weather. He was laying a sheet near the edge of the roof when he slipped on the plastic and fell 18 ft onto a wooden deck. Employee #1 suffered a fractured jaw, severe bruising on one side of his body, and bleeding from one ear. He was hospitalized for treatment and observation.

Keywords: FRACTURE, ROOF, WORK RULES, SLIP, CONSTRUCTION, FALL, FALL PROTECTION, SLIPPERY SURFACE, FACE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	111803607			Hospitalized injury	Fracture	Occupation not reported

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