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Inspection Detail
Inspection: 1629732.015 - Ana Rita Borba
Inspection Information - Office: Fremont District Office
Site Address:
Ana Rita Borba
913 Lincoln St.
Watsonville, CA 95076
Mailing Address:
120 North Dr., Freedom, CA 95019
Union Status: NonUnion
SIC:
NAICS: 238160/Roofing Contractors
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 03/27/2023
Emphasis:
Case Closed: 01/06/2025
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1959491 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 5 | 5 | ||||
| Current Violations | 5 | 5 | ||||
| Initial Penalty | $0 | $0 | $0 | $7,000 | $0 | $7,000 |
| Current Penalty | $0 | $0 | $0 | $2,900 | $0 | $2,900 |
| 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 | Other | 342(A) | 03/28/2023 | $2,500 | $5,000 | $0 | 05/16/2023 | O - Administrative Law Judge Order | ||
| 2. | 01002 | Other | 1509(A) | 03/28/2023 | $100 | $500 | $0 | 05/16/2023 | O - Administrative Law Judge Order | ||
| 3. | 01003 | Other | 1509(B) | 03/28/2023 | $100 | $500 | $0 | 05/16/2023 | O - Administrative Law Judge Order | ||
| 4. | 01004 | Other | 3395(I) | 03/28/2023 | $100 | $500 | $0 | 05/16/2023 | O - Administrative Law Judge Order | ||
| 5. | 01005 | Other | 3205(C) | 03/28/2023 | $100 | $500 | $0 | 05/16/2023 | O - Administrative Law Judge Order |
Investigation Summary
At 3:48 p.m. on October 14, 2022, an employee, an unlicensed contractor, was hired by a home owner to perform re-roofing on a single story residential home. The roofing supplies were on the roof, and the employee was installing the roofing material when he fell approximately 9-10 feet from the open side, landing on the concrete surface. The employee was transported via ambulance to the local hospital, where he died five days later.
Keywords: Blunt force, Blunt force trauma, Fall, Fall From Elevation, Installing, Roof, Roof Decking, Roofer
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1629732.015 | 69 | M | Fatality | Roofers |