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Inspection Detail
Inspection: 307091512 - Mutual Of Enumclaw Insurance Inc
Inspection Information - Office: Or-E-Portland - Safety 1 1054111
Site Address:
Mutual Of Enumclaw Insurance Inc
4000 Kruse Way Bldg 3 #200
Lake Oswego, OR 97035
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:6331
NAICS: 524126/Direct Property and Casualty Insurance Carriers
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 06/10/2004
Planning Guide: Safety-Manufacturing
Emphasis:
Case Closed: 01/31/2005
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | 2 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $1,250 | $0 | $0 | $2,500 | $0 | $3,750 |
| Current Penalty | $1,250 | $0 | $0 | $2,500 | $0 | $3,750 |
| 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 | Serious | 701076001 A | 07/14/2004 | 07/31/2004 | $1,250 | $1,250 | $0 | - | ||
| 2. | 02002 | Other | 701070021 C | 07/14/2004 | 02/05/2004 | $2,500 | $2,500 | $0 | - |
Investigation Summary
Employee #1, an insurance adjuster, was investigating a claim of water damage and was walking across a damaged floor when he fell through the damaged, rotten portion of the floor. Employee #1 internal injuries and was hospitalized for approximately thirteen days from this event.
Keywords: WALKING SURFACE, FALL, FLOOR OPENING
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 307091512 | Hospitalized injury | Fracture | Occupation not reported |