Inspection Detail

Inspection: 310689211 - Fireside Distributors Of Oregon Inc

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

Inspection Nr: 310689211

Report ID: 1054112

Date Opened: 05/07/2007

Site Address:
Fireside Distributors Of Oregon Inc
2498 Nw Irving St
Portland, OR 97209

Mailing Address:
18389 Sw Boones Ferry Rd, Portland, OR 97224

Union Status: NonUnion

SIC:5074

NAICS: 238140/Masonry Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/10/2007

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 01/25/2008

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				2		2
Current Violations				2		2
Initial Penalty	$0	$0	$0	$300	$0	$300
Current Penalty	$0	$0	$0	$300	$0	$300
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	Other	701076502 A	10/29/2007	11/15/2007	$300	$300	$0		-
2.	01002	Other	701070014 D	10/29/2007	10/05/2007	$0	$0	$0		-

Investigation Summary

Investigation Nr: 201636719

Event: 05/07/2007

Employee Is Injured When Boom Lift Tips Over

On May 7, 2007, Employee #1 was on a 110 ft straight boom lift installing exhaust vents on the exterior of a condominium. He was tied off to the basket. The boom was extended approximately 94 ft and as he manipulating the boom, the lift tipped over. Employee #1 and the basket struck a modular trailer job shack. Employee #1 suffered a compound fracture of his left elbow, head and face fractures, and internal injuries. Employee #1 was hospitalized. .

Keywords: HEAD, ELBOW, FRACTURE, HOISTING MECHANISM, BOOM, ROLL-OVER, STRUCK AGAINST, FALL, FACE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	310689211			Hospitalized injury	Freezing/Frost Bite	Industrial truck and tractor equipment operators

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