Accident Report Detail

Accident Summary Nr: 135772.015 - Employee is struck and killed by backing dump truck

Accident Summary Nr: 135772.015 -- Report ID: 0418100 -- Event Date: 05/19/2021
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1532294.015	05/20/2021		237310	Blackjack Paving, Sealcoating & Striping, L.L.C.

Abstract: At 9:15 a.m. on May 19, 2021, an employee painted guidelines on pavement to delineate an area to be milled. At some point, the employee was struck and killed by a dump truck that began to back up.

Keywords: Backing Up, Dump Truck, Paint, Road, Run Over, Struck By

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Highway, road, street		Maintenance or repair					X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1532294.015	27	M	Fatality		Construction Laborer	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Paving Fatality Cause:

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