Inspection Detail

Case Status: CLOSED

Inspection: 1507881.015 - Wa317961976 - Black Creek Llc

Inspection Information - Office: Dosh Tumwater Service Location, Tumwater, Wa

Inspection Nr: 1507881.015

Report ID: 1055340

Date Opened: 12/04/2020

Site Address:
Wa317961976 - Black Creek Llc
10449 Littlerock Rd Sw
Olympia, WA 98509

Mailing Address:
5609 Olympic Hwy 3, Aberdeen, WA 98520

Union Status: NonUnion

SIC:

NAICS: 236115/New Single-Family Housing Construction (except Operative Builders)

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 04/13/2021

Emphasis:

Case Closed: 04/26/2022

Related Activity
Type	Activity Nr	Safety	Health
Accident	1711399

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				2		2
Current Violations				2		2
Initial Penalty	$0	$0	$0	$0	$0	$0
Current Penalty	$0	$0	$0	$0	$0	$0
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	Other	296-27-031(1)	05/10/2021	12/04/2020	$0	$0	$0	05/21/2021	L - State Settlement
2.	01002	Other	296-155-110(2)	05/10/2021	06/12/2021	$0	$0	$0	05/21/2021	L - State Settlement

Investigation Summary

Investigation Nr: 132103.015

Event: 12/02/2020

Employee doing oil-spill clean-up is struck and killed by mo

At 12:00 p.m. on December 2, 2020, Employee #1, employed by a home builder, was transporting an oil barrel on his truck. After he made a left turn, the oil barrel fell off the truck, and oil spilled onto the road. Employee #1 set up cones to create a work zone and proceeded to sweep with a broom in preparation for the arrival of a street sweeper machine. A motorist drove through the cones, striking and killing Employee #1.

Keywords: Blunt force trauma, Cleaning, Construction, Construction vehicle, Highway work zone, Motor Vehicle, Oil Drum, Road, Run Over, Struck By, Sweeper, Truck Driver

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1507881.015	25	M	Fatality		Occupation not reported

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