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Inspection Detail

Inspection: 307330993 - Carl W Lebengood & Roland J Theiss

Inspection Information - Office: Medford

 

Inspection Nr: 307330993
Report ID: 1054116
Date Opened: 09/16/2004

Site Address:
Carl W Lebengood & Roland J Theiss
396 Coarse Gold Rd
Winston, OR 97496

Mailing Address:
Po Box 824, Myrtle Creek, OR 97457

Union Status: NonUnion

SIC:4225

NAICS: 531130/Lessors of Miniwarehouses and Self-Storage Units

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 11/04/2004

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 04/19/2005

Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 6 6
Current Violations 6 6
Initial Penalty $4,600 $0 $0 $0 $0 $4,600
Current Penalty $1,550 $0 $0 $0 $0 $1,550
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 19260451 F15 12/08/2004 12/13/2004 $500 $2,500 $0 01/03/2005 L - State Settlement  
2. 01002A Serious 19260451 F03 12/08/2004 12/25/2004 $250 $500 $0 01/03/2005 L - State Settlement  
3. 01002B Serious 19260454 A 12/08/2004 12/25/2004 $0 $0 $0 01/03/2005 L - State Settlement  
4. 01003A Serious 19260452 W02 12/08/2004 12/13/2004 $250 $500 $0 01/03/2005 L - State Settlement  
5. 01003B Serious 19260452 B09 12/08/2004 12/13/2004 $0 $0 $0 01/03/2005 L - State Settlement  
6. 01003C Serious 19260451 B01 12/08/2004 12/13/2004 $0 $0 $0 01/03/2005 L - State Settlement  
7. 01003D Serious 19260451 E01 12/08/2004 12/13/2004 $0 $0 $0 01/03/2005 L - State Settlement  
8. 01004 Serious 19261060 A 12/08/2004 12/13/2004 $250 $500 $0 01/03/2005 L - State Settlement  
9. 01005 Serious 19261053 B16 12/08/2004 12/13/2004 $150 $300 $0 01/03/2005 L - State Settlement  
10. 01006 Serious 703050301 A 12/08/2004 12/13/2004 $150 $300 $0 01/03/2005 L - State Settlement  

Investigation Summary

Investigation Nr: 201621737
Event: 09/14/2004
Two Employees Are Injured in Fall From Elevation

Employees #1 and #2 were installing siding to the exterior of a building. They were using two tubular welded scaffolds with an extension ladder on top of each scaffold. They were at the top of the ladders at a height of approximately 18 feet when one of the scaffolds tipped over. Both employees fell from their ladders, landing on the ground. Employees #1 and #2 sustained multiple fractures and were hospitalized.

Keywords: FRACTURE, EXTENSION LADDER, INSTALLING, BUILDING, FALL, TUBULAR SCAFFOLD

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 307330993 Hospitalized injury Fracture Occupation not reported
2 307330993 Hospitalized injury Fracture Occupation not reported
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