Inspection Detail

Inspection: 123750754 - Kim Pendergrass

Inspection Information - Office: Or-E-Portland - Safety 1 1054111

Inspection Nr: 123750754

Report ID: 1054111

Date Opened: 02/08/1995

Site Address:
Kim Pendergrass
2275 S Prom
Seaside, OR 97138

Mailing Address:
Po Box 561 Elsie Route, Seaside, OR 97138

Union Status: NonUnion

SIC:1751

NAICS: 0

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 02/08/1995

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 09/24/1999

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations	2					2
Initial Penalty	$1,000	$0	$0	$0	$0	$1,000
Current Penalty	$1,000	$0	$0	$0	$0	$1,000
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	Note
1.	01001	Serious	19260028 A	03/29/1995	02/08/1995	$500	$500	$0		-
2.	01002	Serious	19260252 A	03/29/1995	04/03/1995	$500	$500	$0		-

Investigation Summary

Investigation Nr: 14294136

Event: 02/08/1995

Employee injured when struck on head by discarded plywood

Employee #1, of Kim Pendergrass Construction, was instructed to clean up debris on the main floor while a coworker was instructed to clean up the second floor. While the coworker was sweeping, he came across an 18 in. by 36 in. by 1/2 in. piece of plywood that was too big to push with his broom, so he decided to throw it off the south end of the building, next to a dumpster. At approximately the same time, Employee #1 found a handful of lag bolts and decided to place them on the stack of plywood sheets lying next to the dumpster. He exited the main floor, directly below the opening where the coworker was throwing debris. He had walked approximately 12 ft when the board struck his head at a glancing blow. Another coworker, a gutter installer, ran over to the employee and applied first aid. An ambulance transported Employee #1 to Providence Seaside Hospital, where he received two stitches in his scalp.

Keywords: HEAD, SCALP, WORK RULES, CONSTRUCTION, LACERATION, STRUCK BY, FLYING OBJECT

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	123750754			Non Hospitalized injury	Cut/Laceration	Construction laborers

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