Inspection Detail

Inspection: 120344775 - Kbi Nor Cal

Inspection Information - Office: Modesto District Office

Inspection Nr: 120344775

Report ID: 0950624

Date Opened: 10/14/2003

Site Address:
Kbi Nor Cal
Edgewood Homes, Calaveras Street
Tracy, CA 95376

Mailing Address:
1285 Stratford Avenue #G317, Dixon, CA 95620

Union Status: NonUnion

SIC:1521

NAICS: 236115/New Single-Family Housing Construction (except Operative Builders)

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 11/03/2003

Emphasis: S:Construction (Cship)

Case Closed: 11/04/2003

Related Activity
Type	Activity Nr	Safety	Health
Accident	361727746

Investigation Summary

Investigation Nr: 201103967

Event: 05/05/2003

Employee Injured In Fall From Ladder

At approximately 2:55 p.m. on May 5, 2003, Employee #1 was working as a carpenter on a new residential development. Employee #1 had been using a nail gun, and caulking the siding that was being installed. Employee #1 was descending from the first story area over the garage and shed area. Employee #1 was on an extension ladder and as he stepped down, his foot slipped causing him to fall backwards approximately 9 ft to the ground. Employee #1 sustained a fractured left arm and he was hospitalized.

Keywords: FRACTURE, LADDER, SLIP, CONSTRUCTION, FALL, ARM, HAND TOOL

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	120344775			Hospitalized injury	Fracture	Carpenters

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