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Inspection Detail

Inspection: 305562928 - Affordable 5 Star Labor Inc

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

 

Inspection Nr: 305562928
Report ID: 1054111
Date Opened: 10/29/2002

Site Address:
Affordable 5 Star Labor Inc
51600 Nw Scofield Road
Buxton, OR 97109

Mailing Address:
1927 21st Avenue, Forest Grove, OR 97116

Union Status: NonUnion

SIC:7363

NAICS: 561320/Temporary Help Services


Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 01/09/2003

Planning Guide: Safety-Construction

Emphasis: L:Fall

Case Closed: 01/09/2003



Investigation Summary

Investigation Nr: 201633120
Event: 10/25/2002
Employee falls from roof

At approximately 9:30 a.m. on October 25, 2002, an employee moving three rolls of roofing paper from one location on a roof that was a 4-to-12 pitch on a residential property. The roof surface was frosty. The employee moved two of the three rolls; he was moving the third roll when he slipped on the frosty surface sliding off the edge of the roof. The employee fell 10 ft 3 inches to the ground. The employee sustained fractures to three vertebrae in his back.

Keywords: SLIP, PAPER, FRACTURE, ROOF, BACK, FALL

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 305562928 Hospitalized injury Fracture Construction laborers
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