Inspection Detail

Inspection: 125712927 - Jc Anderson Construction

Inspection Information - Office: Sacramento District Office

Inspection Nr: 125712927

Report ID: 0950621

Date Opened: 05/13/2004

Site Address:
Jc Anderson Construction
5716 Coda Lane
Carmichael, CA 95608

Mailing Address:
3436 Marshall Ave., Carmichael, CA 95608

Union Status: NonUnion

SIC:1521

NAICS: 236118/Residential Remodelers

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 06/18/2004

Planning Guide: Safety-Construction

Emphasis: S:Construction (Cship)

Case Closed: 06/24/2004

Related Activity
Type	Activity Nr	Safety	Health
Accident	362348880

Investigation Summary

Investigation Nr: 201175262

Event: 05/12/2004

Employee falls from a roof and injures head

On May 12, 2004, Employee #1 was performing a roofing operation when he slipped and landed on a deck that was 10.33 ft below. He landed on his head causing a severe head injury and was hospitalized.

Keywords: HEAD, ROOF, SLIP, ROOFER, FALL, CONCUSSION

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	125712927			Hospitalized injury	Other	Roofers

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