Inspection Detail

Inspection: 317074201 - Pavilion Properties Llc

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

Inspection Nr: 317074201

Report ID: 1054112

Date Opened: 09/12/2013

Site Address:
Pavilion Properties Llc
19945 Sw Boones Ferry Road
Tualatin, OR 97062

Mailing Address:
6720 Macadam Avenue Suite 310, Portland, OR 97219

Union Status: NonUnion

SIC:1542

NAICS: 236220/Commercial and Institutional Building Construction

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/30/2013

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 09/30/2013

Investigation Summary

Investigation Nr: 202615092

Event: 08/30/2013

Employee Is Struck by Wood, Falls Off Ladder and Is Injured

On August 30, 2013, Employee #1 was working from a 16 ft extension ladder. As he worked, a large piece of lumber struck him and knocked him off the ladder. He fell onto a concrete surface, sustaining unspecified injuries. Employee #1 was transported to a medical center, where he received treatment and was then hospitalized.

Keywords: EXTENSION LADDER, LADDER, FALL, STRUCK BY, FALLING OBJECT

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	317074201					Occupation not reported

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