Inspection Detail

Inspection: 312716632 - Vaclav Ruzicka

Inspection Information - Office: Or-E-Salem 1054100

Inspection Nr: 312716632

Report ID: 1054113

Date Opened: 04/30/2009

Site Address:
Vaclav Ruzicka
481 E Ellendale Ave
Dallas, OR 97338

Mailing Address:
Po Box 20730, Keizer, OR 97307

Union Status: NonUnion

SIC:1521

NAICS: 236115/New Single-Family Housing Construction (except Operative Builders)

Inspection Type: Unprog Rel

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 08/03/2009

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 01/07/2010

Related Activity
Type	Activity Nr	Safety	Health
Complaint	205095367	Yes

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations	2					2
Initial Penalty	$1,875	$0	$0	$0	$0	$1,875
Current Penalty	$1,650	$0	$0	$0	$0	$1,650
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	701076007 A	08/14/2009	08/19/2009	$1,375	$1,375	$0	08/31/2009	L - State Settlement
2.	01002	Serious	19260050 B	08/14/2009	08/19/2009	$275	$500	$0	08/31/2009	L - State Settlement

Investigation Summary

Investigation Nr: 201614138

Event: 04/27/2009

Employee Is Injured in Fall from Balcony

At approximately 3:30 p.m. on April 27, 2009, Employee #1 was stapling a sheet of Tyvek onto the wall of a third floor deck balcony. After stapling the Tyvek, he stepped back, and leaned against a guardrail. The top guardrail, at a height of 42 inches, gave way, sending him to the ground, approximately 20 feet below. He sustained multiple, unspecified fractures and was not hospitalized for his injuries.

Keywords: DECKING, GUARDRAIL, FALL, FALL PROTECTION, UNSECURED, WORK PLATFORM, FRACTURE, CONSTRUCTION

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	312716632					Occupation not reported

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