Inspection Detail

Case Status: CLOSED

Inspection: 1348456.015 - 317721603 - Shamrock Paving Inc

Inspection Information - Office: Bend

Inspection Nr: 1348456.015

Report ID: 1054115

Date Opened: 08/15/2018

Site Address:
317721603 - Shamrock Paving Inc
Or Hwy 11 North Between Mp 15 & 16
Athena, OR 97813

Mailing Address:
Po Box 19263, Spokane, WA 99219

Union Status: NonUnion

SIC:7299

NAICS: 561990/All Other Support Services

Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/12/2018

Emphasis:

Case Closed: 10/12/2018

Related Activity
Type	Activity Nr	Safety	Health
Accident	1371250
Inspection	1352944	Yes

Case Status: CLOSED

Investigation Summary

Investigation Nr: 110679.015

Event: 08/14/2018

Employee is struck by van while working on paving project an

At 8:55 p.m. on August 14, 2018, an employee was working the south end of a paving project on Hwy 11 North as a flagger and stopped a vehicle. The employee was struck by a second vehicle that came around the stopped vehicle before striking a water truck, killing him.

Keywords: Flagger, Struck By, Traffic Accident, Vehicle

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1348456.015	49	F	Fatality		Paving, surfacing and tamping equipment operators

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