Inspection Detail

Case Status: CLOSED

Inspection: 1240340.015 - Hector Hernandez

Inspection Information - Office: Madison Area Office

Inspection Nr: 1240340.015

Report ID: 0523300

Date Opened: 06/16/2017

Site Address:
Hector Hernandez
4483 State Hwy 73
Deerfield, WI 53531

Mailing Address:
229 E. Shasta Lane, Appleton, WI 54915

Union Status: NonUnion

SIC:

NAICS: 238160/Roofing Contractors

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 06/16/2017

Emphasis:

Case Closed: 05/01/2026

Related Activity
Type	Activity Nr	Safety	Health
Referral	1228944	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations		1		1		2
Current Violations		1		1		2
Initial Penalty	$0	$55,770	$0	$415	$0	$56,185
Current Penalty	$0	$55,770	$0	$415	$0	$56,185
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	Willful	19260501 B13	12/08/2017	12/18/2017	$55,770	$55,770	$0		Z - Issued
2.	02001	Other	19030019 D01	02/28/2018	03/08/2018	$415	$415	$0		Z - Issued

Investigation Summary

Investigation Nr: 101248.015

Event: 06/16/2017

Employee Falls From Roof And Fractures Right Elbow

At approximately 7:30 a.m. on June 16, 2017, Employee #1 was removing an antenna from a residential home. Employee #1 and a crew of three roofers and one supervisor were removing a residential roof. The temperatures was in the 70s degree Fahrenheit with no wind. The pitch of the roof was 5/12 with eve height of 10 feet. Employee #1 was instructed to throw an antenna off the roof. Employee #1 got the antenna and attempted to throw it over the rake side of the roof. The antenna caught his glove and pulled him from the roof. Employee #1 fell approximately 16 ft. He struck a pavement and suffered a fractured right elbow. Employee #1 was transported to a medical center, where he received treatment and was then hospitalized.

Keywords: Antenna, Elbow, Fall, Fracture, PPE, Roof

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1240340.015	29	M	Hospitalized injury		Roofers

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