Inspection Detail

Inspection: 307942623 - Northwest Asphalt, Inc.

Inspection Information - Office: Minnesota Department Of Labor And Industry

Inspection Nr: 307942623

Report ID: 0552700

Date Opened: 07/29/2004

Site Address:
Northwest Asphalt, Inc.
1816 Sugarloaf Trail
Brooklyn Park, MN 55444

Mailing Address:
1451 Stagecoach Rd, Shakopee, MN 55379

Union Status: Union

SIC:1794

NAICS: 238910/Site Preparation Contractors

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 07/29/2004

Emphasis: S:Struck-By

Case Closed: 05/19/2005

Related Activity
Type	Activity Nr	Safety	Health
Accident	100510353

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations	1					1
Initial Penalty	$25,000	$0	$0	$0	$0	$25,000
Current Penalty	$25,000	$0	$0	$0	$0	$25,000
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.	01001A	Serious	5207100002 A	01/12/2005	02/05/2005	$25,000	$25,000	$0	01/14/2005	F - Formal Settlement	Citation has been deleted.
2.	01001B	Serious	5207100002 B	01/12/2005	02/05/2005	$0	$0	$0	01/14/2005	F - Formal Settlement	Citation has been deleted.
3.	01001C	Serious	5207100002 C	01/12/2005	02/05/2005	$25,000	$0	$0	01/14/2005	F - Formal Settlement
4.	01001D	Serious	5207100004 A	01/12/2005	02/05/2005	$0	$0	$0		-

Investigation Summary

Investigation Nr: 200513547

Event: 07/29/2004

Employee is killed when run over by dump truck

On July 29, 2004, Employee #1 was killed when he was run over by a dump truck.

Keywords: CONSTRUCTION, TRUCK, DUMP TRUCK, RUN OVER

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	307942623			Fatality	Other	Construction laborers

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