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Inspection Detail
Inspection: 115320103 - Deborah J Holbert Dba Something Special Flowers
Inspection Information - Office: Dosh Everett Service Location, Everett, Wa
Site Address:
Deborah J Holbert Dba Something Special Flowers
112 Anthes Street
Langley, WA 98260
Mailing Address:
Po Box 852, Langley, WA 98260
Union Status: NonUnion
SIC:5992
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 04/26/1999
Emphasis:
Case Closed: 08/09/1999
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361235815 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 5 | 5 | ||||
| Current Violations | 5 | 5 | ||||
| Initial Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| 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 | 0240004001 A | 05/18/1999 | 07/20/1999 | $0 | $0 | $0 | P - Petition to Mod Abatement | ||
| 2. | 01002 | Other | 0240750102 B | 05/18/1999 | 07/20/1999 | $0 | $0 | $0 | P - Petition to Mod Abatement | ||
| 3. | 01003 | Other | 0620540901 | 05/18/1999 | 06/20/1999 | $0 | $0 | $0 | - | ||
| 4. | 01004 | Other | 02406120 | 05/18/1999 | 06/20/1999 | $0 | $0 | $0 | - | ||
| 5. | 01005 | Other | 0240002003 A | 05/18/1999 | 05/26/1999 | $0 | $0 | $0 | - |
Investigation Summary
Employee #1 was involved in an accident in which his vehicle rolled over. He was not wearing a seatbelt and was partially ejected. Employee #1 sustained a fractured neck, fractured ribs, and a blunt force trauma injury to his head. He was transported to the hospital, where he died.
Keywords: EJECTED, FRACTURE, HEAD, TRAFFIC ACCIDENT, VEHICLE, ROLL-OVER, WORK RULES, SEAT BELT, NECK, MOTOR VEHICLE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 115320103 | Fatality | Fracture | Occupation not reported |