Inspection Detail

Inspection: 105234660 - Pacific Rim Interiors

Inspection Information - Office: Or-E-Salem 1054100

Inspection Nr: 105234660

Report ID: 1054113

Date Opened: 08/17/1987

Site Address:
Pacific Rim Interiors
4600 25th St Ne
Salem, OR 97303

Mailing Address:
Suite 415, Seattle Wa 98104, OR 99999

Union Status: NonUnion

SIC:1742

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 08/27/1987

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 01/05/1989

Related Activity
Type	Activity Nr	Safety	Health
Accident	360772735

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations
Initial Penalty	$260	$0	$0	$0	$0	$260
Current Penalty	$0	$0	$0	$0	$0	$0
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	740003001	09/18/1987	09/23/1987	$260	$260	$0	10/05/1987	F - Formal Settlement	Citation has been deleted.

Investigation Summary

Investigation Nr: 675801

Event: 08/17/1987

Employee killed in fall from scaffold

Employee #1, of Pacific Rim Interiors, Inc., was changing the planks of a three section high rolling scaffold. While he and a coworker were attempting to raise a scaffold plank to the next level, the plank on which he was standing slid sideways. The employee slid through the open hole where the plank had been placed. As he was falling through the hole, the coworker grabbed him, attempting to stop his fall, but was unsuccessful. Employee #1 attempted to stop his fall with his arm, causing his feet to catch on the other parts of the lower section of the rolling scaffold. His head struck the work surface, which was 13 ft 11 in above the lower concrete walkway, and he was killed.

Keywords: HEAD, UNSECURED, WORK RULES, STRUCK AGAINST, CONSTRUCTION, PLANK, UNSTABLE SURFACE, FALL, SCAFFOLD

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	105234660			Fatality	Concussion	Drywall installers

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