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Inspection Detail

Inspection: 308243856 - Valley Ag Service Inc

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

 

Inspection Nr: 308243856
Report ID: 1054112
Date Opened: 09/29/2004

Site Address:
Valley Ag Service Inc
4995 Van Nuys Dr
Parkdale, OR 97041

Mailing Address:
Po Box 387, Parkdale, OR 97041

Union Status: NonUnion

SIC:5191

NAICS: 424910/Farm Supplies Merchant Wholesalers

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/29/2004

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 01/21/2005

Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 1 3 4
Current Violations 1 3 4
Initial Penalty $500 $0 $0 $250 $0 $750
Current Penalty $500 $0 $0 $250 $0 $750
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. 01001A Serious 702022704 A 10/20/2004 10/25/2004 $500 $500 $0 -  
2. 01001B Serious 702022704 F 10/20/2004 10/25/2004 $0 $0 $0 -  
3. 02002 Other 19100178 L06 10/20/2004 11/20/2004 $0 $0 $0 -  
4. 02003 Other 19100178 P01 10/20/2004 10/25/2004 $0 $0 $0 -  
5. 02004 Other 701070021 C 10/20/2004 09/29/2004 $250 $250 $0 -  

Investigation Summary

Investigation Nr: 201634748
Event: 09/17/2004
Employee is injured by fall from work platform on forklift

On September 17, 2004, Employee #1, a laborer, was in a fruit bin on the lifting carriage of a forklift, changing overhead light bulbs at the building entrance. After changing the light bulb, the forklift operator was lowering Employee #1 to the ground when the worker moved to one side of the platform, causing the platform and Employee #1 to fall from the forks, approximately 5 feet to the concrete floor below. Employee #1 was hospitalized with a fractured hip.

Keywords: FRACTURE, AGRICULTURE, WORK RULES, LOAD SHIFT, INDUSTRIAL TRUCK, FALL, UNTRAINED, WORK PLATFORM, HIP

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 308243856 Hospitalized injury Fracture Occupation not reported
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