Inspection Detail

Inspection: 307457242 - Dan'S Roofing Inc

Inspection Information - Office: San Bernardino District Office

Inspection Nr: 307457242

Report ID: 0950633

Date Opened: 06/21/2005

Site Address:
Dan'S Roofing Inc
41940 Jojoba Hills Cir
Aguanga, CA 92536

Mailing Address:
22295-8 Mission Trail # 307, Lake Elsinore, CA 92530

Union Status: NonUnion

SIC:1761

NAICS: 238160/Roofing Contractors

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/15/2005

Emphasis: S:Construction (Cship)

Case Closed: 10/31/2005

Related Activity
Type	Activity Nr	Safety	Health
Accident	102442605

Investigation Summary

Investigation Nr: 202441317

Event: 06/17/2005

Roofer Falls from Roof and Is Killed

At approximately 4:16 p.m. on June 17, 2005, a roofer worked for Dan's Roofing Inc., in Lake Elsinore, California. He was laying a roll of roofing felt on a custom single story house under construction in Aguanga, California. He accidently stepped backward off the roof and landed on his head. Paramedics responded and airlifted the roofer to the Riverside County Regional Medical Center in Moreno Valley, California for emergency medical care. The medical report listed the time of death at 8:42 p.m. The cause of death was multiple blunt force trauma.

Keywords: HEAD, INSTALLING, ROOF, CONSTRUCTION, ROOFER, FALL, FALL PROTECTION, CONCUSSION, WALKING BACKWARD, WORK SURFACE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	307457242			Fatality	Other	Roofers

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