Inspection Detail
Inspection: 1430678.015 - Northland Signature Homes, Llc
Inspection Information - Office: Miosha Construction Safety & Health Division
Site Address:
Northland Signature Homes, Llc
11514 S Cedar Bay Trail
Traverse City, MI 49684
Mailing Address:
3772 Kennedy Place, Williamsburg, MI 49690
Union Status: NonUnion
SIC:
NAICS: 238160/Roofing Contractors
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/11/2019
Emphasis: S:Construction, S:Fall, S:Reinspect
Case Closed: 01/31/2020
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1498366 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 5 | 2 | 7 | |||
| Current Violations | 5 | 2 | 7 | |||
| Initial Penalty | $2,000 | $0 | $0 | $500 | $0 | $2,500 |
| Current Penalty | $1,000 | $0 | $0 | $250 | $0 | $1,250 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Serious | 408.41243(2) | 12/20/2019 | 01/03/2020 | $200 | $400 | $0 | I - Informal Settlement | ||
| 2. | 01002 | Serious | 408.41243(4) | 12/20/2019 | 01/03/2020 | $200 | $400 | $0 | I - Informal Settlement | ||
| 3. | 01003 | Serious | 408.41243(6) | 12/20/2019 | 01/03/2020 | $200 | $400 | $0 | I - Informal Settlement | ||
| 4. | 01004 | Serious | 408.41243(11) | 12/20/2019 | 01/03/2020 | $200 | $400 | $0 | I - Informal Settlement | ||
| 5. | 01005 | Serious | 19260501 B13 | 12/20/2019 | 01/03/2020 | $200 | $400 | $0 | I - Informal Settlement | ||
| 6. | 02001 | Other | 408.40114(2) | 12/20/2019 | 01/03/2020 | $0 | $0 | $0 | I - Informal Settlement | ||
| 7. | 02002 | Other | 408.22139(2) | 12/20/2019 | 01/03/2020 | $250 | $500 | $0 | I - Informal Settlement |
Investigation Summary
At 9:00 a.m. on July 22, 2019, an employee was stepping from the roof to a rough terrain forklift platform after staging material without fall protection. The employee fell 12 feet to the ground. The employee was hospitalized to treat fractured vertebrae and sternum and a brain and pancreas bleed.
Keywords: Brain Bleed, Fall, Fall From Elevation, Fall Protection, Forklift, Fracture, Pancreas, Roof, Vertebra
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1430678.015 | 35 | M | Hospitalized injury | Carpenters |
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