Inspection Detail

Inspection: 307471052 - Obrien Constructors Llc

Inspection Information - Office: Or-E-Salem 1054100

Inspection Nr: 307471052

Report ID: 1054113

Date Opened: 09/15/2004

Site Address:
Obrien Constructors Llc
15771 Se Ribbon Ridge Rd
Newberg, OR 97132

Mailing Address:
1631 Sw Jefferson, Portland, OR 97201

Union Status: Union

SIC:1521

NAICS: 236220/Commercial and Institutional Building Construction

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 11/02/2004

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 04/26/2005

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				2		2
Current Violations				2		2
Initial Penalty	$0	$0	$0	$0	$0	$0
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	Other	703008101	11/30/2004	12/31/2004	$0	$0	$0		-
2.	01002	Other	703008104	11/30/2004	12/31/2004	$0	$0	$0		-

Investigation Summary

Investigation Nr: 201612785

Event: 09/13/2004

Employee is injured when struck by falling concrete

At approximately 2:00 p.m. on September 13, 2004, an employee was assisting in setting concrete forms on a construction site. A coworker was operating a crane. The boom on the crane flexed and dropped the load approximately one foot. The employee was struck on the head and shoulder. He was hospitalized with contusions to his head and shoulder.

Keywords: CONCRETE FORM WORK, HEAD, CRANE BOOM, SUSPENDED LOAD, CONSTRUCTION, STRUCK BY, FALLING OBJECT, CONTUSION

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	307471052			Hospitalized injury	Bruise/Contus/Abras	Carpenters

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