Accident Report Detail

Accident Summary Nr: 202075669 - Employee Crushed by Shoulder-Widening Machine

Accident Summary Nr: 202075669 -- Report ID: 0453730 -- Event Date: 01/21/2004
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
307404186	01/22/2004	1611	237310	Dot, Division 14, District 1, Polk County

Abstract: On January 22, 2004, Employee #1, a construction laborer, fell, got caught between the right rear tire and the frame of a shoulder-widening machine, and was crushed. Employee #1 died.

Keywords: CONSTRUCTION, CRUSHED, FALL, ROAD PAVING

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Highway, road, street		Alteration or rehabilitation		Under $50,000			X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	307404186			Fatality	Other	Construction laborers	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Backfilling and compacting Fatality Cause: Crushed/run-over/trapped of operator by operating

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