Inspection Detail

Inspection: 315665984 - C C Services Inc

Inspection Information - Office: Or-E-Salem 1054100

Inspection Nr: 315665984

Report ID: 1054113

Date Opened: 03/08/2012

Site Address:
C C Services Inc
2025 Vista Ave Se
Salem, OR 97302

Mailing Address:
Po Box 2020, Bloomington, IL 61702

Union Status: NonUnion

SIC:6411

NAICS: 524210/Insurance Agencies and Brokerages

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 07/25/2012

Planning Guide: Safety-Manufacturing

Emphasis:

Case Closed: 12/03/2012

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations	2					2
Initial Penalty	$2,800	$0	$0	$0	$0	$2,800
Current Penalty	$2,800	$0	$0	$0	$0	$2,800
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citation Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Serious	701076001 A	08/02/2012	08/07/2012	$2,500	$2,500	$0		-
2.	01002	Serious	702016104 A	08/02/2012	08/07/2012	$300	$300	$0		-

Investigation Summary

Investigation Nr: 201615101

Event: 03/05/2012

Employee Falls from Elevation and Sustains Multiple Fracture

At approximately 2:30 p.m. on March 5, 2012 Employee #1 of CC Services Inc., was retrieving a file box from a set of shelves approximately 16 feet high with a stock picker forklift. Employee #1 did not use the harness and inertia reel provided and fitted to the equipment operating station. When Employee #1 raised the platform to the desired height of approximately 12 feet, he walked out on the pallet attached to the forks of the lift. While Employee #1 was searching for the desired file he walked off the end of the pallet, falling approximately 12 feet to the concrete floor below. Employee #1 was hospitalized due to his fractures.

Keywords: PLATFORM, FRACTURE, INDUSTRIAL TRUCK, FALL, PALLET

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	315665984			Hospitalized injury	Fracture	Records clerks

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