Inspection Detail

Inspection: 315921635 - State Of Oregon

Inspection Information - Office: Bend

Inspection Nr: 315921635

Report ID: 1054115

Date Opened: 09/09/2011

Site Address:
State Of Oregon
20355 Poe Sholes Dr
Bend, OR 97701

Mailing Address:
255 Capital St Ne Fl 4, Salem, OR 97310

Union Status: Union

SIC:9221

NAICS: 922120/Police Protection

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: StateGovt

Safety/Health: Safety

Close Conference: 11/28/2011

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 11/28/2011

Investigation Summary

Investigation Nr: 201703345

Event: 08/12/2011

Employee Is Injured When Vehicle Slips Off Jack

On August 12, 2011, Employee #1, a state government worker, was changing a flat tire for a citizen. While he was under the vehicle removing the spare tire, the jack slipped and the vehicle fell on his face. Employee #1 was hospitalized for facture(s).

Keywords: FRACTURE, SLIP, STRUCK BY, FACE, JACK, TIRE, UNSTABLE LOAD

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	315921635			Hospitalized injury	Fracture	Occupation not reported

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