Inspection Detail

Inspection: 307087031 - Nl Jacobsen Enterprises Inc

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

Inspection Nr: 307087031

Report ID: 1054111

Date Opened: 10/16/2003

Site Address:
Nl Jacobsen Enterprises Inc
4126 Sw Bertha Blvd
Portland, OR 97239

Mailing Address:
2700 Se Harrison St Ste D, Milwaukie, OR 97222

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: 02/09/2004

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 02/09/2004

Investigation Summary

Investigation Nr: 201634110

Event: 10/10/2003

Employee is injured when he falls from rooff

At approximately 2:00 a.m. p.m. on October 10, 2003, an employee was covering a temporary floor over some trusses and joists. When he finished the project, he walked to the access or egress ladder at the edge of the floor. One of the sheets covering the floor was not nailed down. While walking across the temporary floor, he went through the flooring to the concrete floor approximately 14 ft. below. Prior to landing, he hit a lathe, causing a fracture to his right cheek, bruising, and a deep laceration to his head.

Keywords: HEAD, LACERATION, FRACTURE, ROOF, CARPENTER, CONSTRUCTION, FALL, FALL PROTECTION, WORK SURFACE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	307087031			Hospitalized injury	Fracture	Carpenters

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