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Inspection Detail
Inspection: 304143282 - Pr Systems Inc
Inspection Information - Office: Dosh Seattle Service Location, Seattle, Wa
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
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361189178 |
| 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 |
| # | 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
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
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 304143282 | Fatality | Other | Occupation not reported |