Inspection Detail

Inspection: 310271184 - Jacks Overhead Door Inc

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

Inspection Nr: 310271184

Report ID: 1054111

Date Opened: 07/25/2006

Site Address:
Jacks Overhead Door Inc
11135 Sw Industrial Way
Tualatin, OR 97062

Mailing Address:
Po Box 230368, Tigard, OR 97281

Union Status: NonUnion

SIC:1751

NAICS: 238350/Finish Carpentry Contractors

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/28/2006

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 02/23/2007

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				2		2
Current Violations
Initial Penalty	$0	$0	$0	$2,500	$0	$2,500
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	701070021 C	11/03/2006	11/08/2006	$0	$2,500	$0	11/28/2006	D - Govt Dismissed	Citation has been deleted.
2.	01002	Other	701076507 C B	11/03/2006	12/04/2006	$0	$0	$0	11/28/2006	D - Govt Dismissed	Citation has been deleted.

Investigation Summary

Investigation Nr: 201636107

Event: 07/21/2006

Employee Sustains Concussion in Fall from Scissor Lift

At approximately 12:30 p.m. on July 21, 2006, Employee #1 was working for a company that installed overhead doors. Using a rented scissor lift, he had finished adjusting a 14-foot high overhead door, When the lift's platform reached the ground, he turned around and stepped from the scissor lift backward. He either misstepped or slipped from the built-in ladder, and he fell approximately 32 inches. He fell backward, striking the back of his head on the concrete floor. He was rendered unconscious, and he sustained lacerations to his head and a head concussion. He was hospitalized.

Keywords: HEAD, LADDER, STRUCK AGAINST, CONSTRUCTION, LACERATION, FALL, CONCUSSION, WALKING BACKWARD, DOOR, AERIAL LIFT

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	310271184			Hospitalized injury	Concussion	Carpenters

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