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Inspection Detail
Inspection: 310687512 - John Forsgren
Inspection Information - Office: Or-E-Portland - Safety 1 1054111
Site Address:
John Forsgren
27795 Se Sunray Dr
Boring, OR 97009
Mailing Address:
15411 Ne Springbrook St, Portland, OR 97230
Union Status: NonUnion
SIC:1521
NAICS: 236118/Residential Remodelers
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 05/11/2007
Planning Guide: Safety-Construction
Emphasis:
Case Closed: 08/15/2007
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $0 | $0 | $0 | $250 | $0 | $250 |
| Current Penalty | $0 | $0 | $0 | $250 | $0 | $250 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | 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 | 05/29/2007 | 04/12/2007 | $250 | $250 | $0 | - | ||
| 2. | 99002 | Other | 701076502 B B | 05/29/2007 | 06/15/2007 | $0 | $0 | $0 | - |
Investigation Summary
On April 5, 2007, Employee #1, a roofer, was preparing the surface for a new roof. He was working 14 feet up from the eave of a 4/12 pitched roof, when he fell. He fractured his back and was hospitalized for his injuries.
Keywords: FRACTURE, ROOF, CONSTRUCTION, BACK, ROOFER, FALL, FALL PROTECTION, WORK SURFACE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 310687512 | Hospitalized injury | Fracture | Occupation not reported |