Inspection Detail

Inspection: 307404186 - Dot, Division 14, District 1, Polk County

Inspection Information - Office: Nc Department Of Labor - Charlotte

Inspection Nr: 307404186

Report ID: 0453730

Date Opened: 01/22/2004

Site Address:
Dot, Division 14, District 1, Polk County
Big Level Road, Sr 1161
Columbus, NC 28722

Mailing Address:
151 Locust Street, Columbus, NC 28722

Union Status: NonUnion

SIC:1611

NAICS: 237310/ Highway, Street, and Bridge Construction

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: StateGovt

Safety/Health: Safety

Close Conference: 03/02/2004

Planning Guide: Safety-Construction

Emphasis:

Case Closed: 03/29/2004

Related Activity
Type	Activity Nr	Safety	Health
Accident	102093986
Accident	102093994

Investigation Summary

Investigation Nr: 202075669

Event: 01/21/2004

Employee Crushed by Shoulder-Widening Machine

On January 22, 2004, Employee #1, a construction laborer, fell, got caught between the right rear tire and the frame of a shoulder-widening machine, and was crushed. Employee #1 died.

Keywords: CONSTRUCTION, CRUSHED, FALL, ROAD PAVING

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	307404186			Fatality	Other	Construction laborers

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