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Inspection Detail
Inspection: 119716504 - R.O. Broaker
Inspection Information - Office: Fremont District Office
Inspection Nr: 119716504
Report ID: 0950612
Date Opened: 11/13/1995
Site Address:
R.O. Broaker
693 Folsom Circle
Milpitas, CA 95035
Mailing Address:
1617 Old Country Road, Belmont, CA 94002
Union Status: NonUnion
SIC:1721
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 11/27/1995
Emphasis:
Case Closed: 11/27/1995
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362210718 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $3,000 | $0 | $0 | $0 | $0 | $3,000 |
| Current Penalty | $3,000 | $0 | $0 | $0 | $0 | $3,000 |
| 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 | 1670 A | 02/20/1996 | 02/23/1996 | $3,000 | $3,000 | $0 | 03/11/1996 | W - Empr Withdrew |
Investigation Summary
Investigation Nr: 170377188
Event: 10/13/1995
Employee injured in fall from roof
On October 13, 1995, Employee #1 fell approximately 15 ft from a roof. He suffered a broken ankle, broken ribs, and a fractured pelvis. He was not wearing a safety belt or lanyard at the time of the accident.
Keywords: FRACTURE, ROOF, WORK RULES, CONSTRUCTION, PELVIS, RIB, FALL, FALL PROTECTION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 119716504 | Hospitalized injury | Fracture | Painters, construction and maintenance |