Inspection Detail

Inspection: 307087197 - City Of Sherwood

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

Inspection Nr: 307087197

Report ID: 1054111

Date Opened: 10/22/2003

Site Address:
City Of Sherwood
23674 Heron Lakes Dr
Sherwood, OR 97140

Mailing Address:
20 Nw Washington St, Sherwood, OR 97140

Union Status: NonUnion

SIC:9111

NAICS: 921110/Executive Offices

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 01/14/2004

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 06/24/2004

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations	1			1		2
Initial Penalty	$500	$0	$0	$0	$0	$500
Current Penalty	$100	$0	$0	$0	$0	$100
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	19260021 B02	02/06/2004	03/08/2004	$100	$500	$0	02/26/2004	L - State Settlement
2.	02002	Other	701076507 C	02/06/2004	03/08/2004	$0	$0	$0	02/26/2004	L - State Settlement

Investigation Summary

Investigation Nr: 201634029

Event: 10/14/2003

Employee injured after being struck by bundle of shingles

At approximately 3:00 p.m. on October 14, 2003, an employee, a building inspector, made an inspection at a residential property. As he was leaving the dwelling through the garage door, a roofer threw a bundle of shingle from the roof approximately 23 ft above. The employee was struck on the back of the head and rendered unconscious. He was hospitalized and treated for a fracture.

Keywords: HEAD, UNCONSCIOUSNESS, UNTRAINED, FRACTURE, CONSTRUCTION, STRUCK BY, FALLING OBJECT

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	307087197			Hospitalized injury	Fracture	Construction inspectors

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