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Inspection Detail
Inspection: 307845701 - Tri State Construction Inc
Inspection Information - Office: Dosh Seattle Service Location, Seattle, Wa
Inspection Nr: 307845701
Report ID: 1055320
Date Opened: 06/18/2004
Site Address:
Tri State Construction Inc
320 - 106th Avenue Ne
Bellevue, WA 98004
Mailing Address:
Po Box 3686, Bellevue, WA 98009
Union Status: Union
SIC:1611
NAICS: 237310/ Highway, Street, and Bridge Construction
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/28/2004
Emphasis:
Case Closed: 10/01/2006
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101197499 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | 2 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $600 | $0 | $0 | $0 | $0 | $600 |
| Current Penalty | $600 | $0 | $0 | $0 | $0 | $600 |
| 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 | 1550004001 | 11/18/2004 | 11/22/2004 | $600 | $600 | $0 | - | ||
| 2. | 02001 | Other | 1550010001 C | 11/18/2004 | 12/06/2004 | $0 | $0 | $0 | - |
Investigation Summary
Investigation Nr: 202363933
Event: 06/18/2004
Employee Is Killed When Struck in Head by Pipe
On June 18, 2004, Employee #1 was killed when he was struck in the head by a section of metal pipe.
Keywords: FRACTURE, HEAD, CONSTRUCTION, STRUCK BY, METAL PIPE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 307845701 | Fatality | Fracture | Occupation not reported |