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Inspection Detail

Inspection: 307828640 - Sleep Country Usa Inc

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

 

Inspection Nr: 307828640
Report ID: 1054112
Date Opened: 08/06/2004

Site Address:
Sleep Country Usa Inc
5842 Ne 112th #205
Portland, OR 97220

Mailing Address:
Ct Corporation System 388 State St Ste 420, Salem, OR 97301

Union Status: NonUnion

SIC:5712

NAICS: 442110/Furniture Stores

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/23/2004

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 01/24/2005

Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 1 3 4
Current Violations 1 3 4
Initial Penalty $2,500 $0 $0 $0 $0 $2,500
Current Penalty $2,500 $0 $0 $0 $0 $2,500
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 702012501 10/07/2004 10/13/2004 $2,500 $2,500 $0 -  
2. 02002 Other 701076506 B A 10/07/2004 11/07/2004 $0 $0 $0 -  
3. 02003 Other 701076506 D AI 10/07/2004 11/07/2004 $0 $0 $0 -  
4. 02004 Other 701076507 C 10/07/2004 11/07/2004 $0 $0 $0 -  

Investigation Summary

Investigation Nr: 201634581
Event: 08/04/2004
Employee is injured in fall from aerial lift

On August 4, 2004, Employee #1 was operating an order picker, a type of aerial lift device, in a warehouse in order to pull stock from the third level of a storage rack system. He fell approximately 16 feet to the concrete floor. He was hospitalized and treated for a concussion.

Keywords: PPE, WAREHOUSE, FALL, FALL PROTECTION, CONCUSSION, WORK PLATFORM, WORK SURFACE, AERIAL LIFT

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 307828640 Hospitalized injury Concussion Occupation not reported
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