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Inspection Detail
Inspection: 115558264 - W.F. Custom, Inc.
Inspection Information - Office: Arizona Division Of Occupational Safety And Health (Adosh)
Site Address:
W.F. Custom, Inc.
4629 E Ford Ave
Gilbert, AZ 85236
Mailing Address:
2522 E Lynwood St, Mesa, AZ 85213
Union Status: NonUnion
SIC:1751
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/21/1992
Planning Guide: Safety-Construction
Emphasis: L:Fall
Case Closed: 12/15/1992
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 360736086 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | 2 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $875 | $0 | $0 | $0 | $0 | $875 |
| Current Penalty | $875 | $0 | $0 | $0 | $0 | $875 |
| 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 | Serious | 19260028 A | 11/10/1992 | 11/13/1992 | $875 | $875 | $0 | - | ||
| 2. | 02001 | Other | R4130631 A | 11/10/1992 | 11/13/1992 | $0 | $0 | $0 | - |
Investigation Summary
Employee #1, of W.F. Custom, Inc., was working on the roof of a house under construction in Gilbert, AZ. As he was installing a fascia board to the edge of the roof, the fascia board came loose and fell. Employee #1 lost his balance and fell 20 feet to the ground, fracturing his leg.
Keywords: WORK RULES, LOST BALANCE, LEG, FRACTURE, INSTALLING, ROOF, CONSTRUCTION, FALL, FALL PROTECTION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 115558264 | Hospitalized injury | Fracture | Carpenters |