Inspection Detail

Inspection: 304143282 - Pr Systems Inc

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

Inspection Nr: 304143282

Report ID: 1055320

Date Opened: 03/21/2001

Site Address:
Pr Systems Inc
1100 Block Of Ne 112th St
Bellevue, WA 98004

Mailing Address:
8351 30th Ave Ne, Lacey, WA 98516

Union Status: NonUnion

SIC:1611

NAICS: 0

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 08/08/2001

Emphasis:

Case Closed: 11/02/2001

Related Activity
Type	Activity Nr	Safety	Health
Accident	361189178

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations	1			1		2
Initial Penalty	$900	$0	$0	$0	$0	$900
Current Penalty	$900	$0	$0	$0	$0	$900
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Serious	1550011002	08/20/2001	09/22/2001	$900	$900	$0		-
2.	02001	Other	1550011006	08/20/2001	08/08/2001	$0	$0	$0		-

Investigation Summary

Investigation Nr: 171034010

Event: 03/21/2001

Employee killed when crushed by planing machine

Employee #1 was working between a CMI asphalt planing machine, Model Number PR-800-7 and a Peterbilt dump truck, license number A19238H, Washington state, with a trailer, license number 9206-LX, Washington state. The asphalt crew was removing two inches of asphalt from 112th Street NE while traveling northbound. The planing machine and the dump truck were both traveling north. Employee #1 was walking and working between the planing machine and the dump truck trailer while the planing machine was traveling, or crabbing, around an iron water valve in the roadway. The planing machine traveled into the trailer of the truck and crushed Employee #1 between them. Employee #1 was pronounced dead on the scene by the responding medical aid units. The cause of death was determined to be an avulsion of the heart as a result of a crushing blunt force injury to the trunk.

Keywords: HEART, TORSO, CAUGHT BETWEEN, CRUSHED, DUMP TRUCK, TRAILER

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	304143282			Fatality	Other	Occupation not reported

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