Inspection Detail

Inspection: 303535892 - Roxy Development Corp.

Inspection Information - Office: Queens District Office

Inspection Nr: 303535892

Report ID: 0215600

Date Opened: 11/24/2003

Site Address:
Roxy Development Corp.
150-11 126th Street
South Ozone Park, NY 11420

Mailing Address:
80-30 164th Street, Hillcrest Estates, NY 11432

Union Status: NonUnion

SIC:1542

NAICS: 236220/Commercial and Institutional Building Construction

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 05/13/2004

Emphasis: L:Fall, S:Construction Fatalities

Case Closed: 08/30/2004

Related Activity
Type	Activity Nr	Safety	Health
Accident	100830611

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	3			1		4
Current Violations	3			1		4
Initial Penalty	$3,750	$0	$0	$5,000	$0	$8,750
Current Penalty	$2,625	$0	$0	$0	$0	$2,625
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
1.	01001	Serious	19260100 A	05/13/2004	05/25/2004	$375	$750	$0	05/28/2004	J - ALJ Decision
2.	01002A	Serious	19260501 B13	05/13/2004	05/25/2004	$1,500	$1,500	$0	05/28/2004	J - ALJ Decision
3.	01002B	Serious	19260503 A01	05/13/2004	05/25/2004	$0	$0	$0	05/28/2004	J - ALJ Decision
4.	01003	Serious	19261051 A	05/13/2004	05/25/2004	$750	$1,500	$0	05/28/2004	J - ALJ Decision
5.	02001	Other	19040039 A	05/13/2004	05/18/2004	$0	$5,000	$0	05/28/2004	J - ALJ Decision

Investigation Summary

Investigation Nr: 200830768

Event: 11/17/2003

Employee falls from a roof and dies

At approximately 9:20 a.m. on November 17, 2003, Employee #1 was working on a roof and fell 20 ft to the ground and died.

Keywords: FRACTURE, ROOF, PPE, WORK RULES, STRUCK AGAINST, ROOFER, FALL

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	303535892			Fatality	Fracture	Roofers

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