Inspection Detail

Inspection: 314525619 - Employment Source Staffing Inc

Inspection Information - Office: Bend

Inspection Nr: 314525619

Report ID: 1054115

Date Opened: 06/14/2011

Site Address:
Employment Source Staffing Inc
One Mile East Of Black Butte Ranch
Sisters, OR 97759

Mailing Address:
Po Box 91609, Portland, OR 97291

Union Status: NonUnion

SIC:7363

NAICS: 561330/Professional Employer Organizations

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 07/18/2011

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 07/18/2011

Investigation Summary

Investigation Nr: 201703261

Event: 06/08/2011

Worker Injured in Traffic Accident

On June 8, 2011, Employee #1, a 46-year-old male with Employment Source Staffing Inc., received multiple injuries while in a traffic accident about one mile east of Black Butte Ranch in Sisters, Oregon. Employee #1 was hospitalized as a result of the event.

Keywords: TRAFFIC ACCIDENT

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	314525619			Hospitalized injury	Other	Occupation not reported

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