Inspection Detail

Inspection: 315666768 - Pbj Construction Inc

Inspection Information - Office: Or-E-Salem 1054100

Inspection Nr: 315666768

Report ID: 1054113

Date Opened: 04/13/2012

Site Address:
Pbj Construction Inc
2275 Barbera St
Mcminnville, OR 97218

Mailing Address:
6107 Wanconda Rd Ne, Salem, OR 97305

Union Status: NonUnion

SIC:1761

NAICS: 238160/Roofing Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 08/06/2012

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 08/06/2012

Investigation Summary

Investigation Nr: 201615127

Event: 04/10/2012

Siding Worker Injured in Fall from Ladder

On March 10, 2012, Employee #1, a 12-year-old male with Pbj Construction Inc., was performing siding type work activity when he fell from an extension ladder while installing vapor barrier. Employee #1 was hospitalized as a result of the fall and suffered unspecified fracture injuries as a result of the fall.

Keywords: FRACTURE, LADDER, CONSTRUCTION, FALL

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	315666768			Hospitalized injury	Fracture	Construction trades, n.e.c.

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