Inspection Detail

Inspection: 308069582 - Western Paving, Llc

Inspection Information - Office: Arizona Division Of Occupational Safety And Health (Adosh)

Inspection Nr: 308069582

Report ID: 0950411

Date Opened: 08/11/2004

Site Address:
Western Paving, Llc
67th Avenue And Broadway Road
Phoenix, AZ 85043

Mailing Address:
21617 North 3rd Avenue, Suite #B, Phoenix, AZ 85027

Union Status: NonUnion

SIC:1611

NAICS: 237310/ Highway, Street, and Bridge Construction

Inspection Type: Accident

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 08/11/2004

Planning Guide: Safety-Construction

Emphasis: N:Trench

Case Closed: 08/11/2004

Related Activity
Type	Activity Nr	Safety	Health
Accident	101993343
Referral	201985553	Yes

Investigation Summary

Investigation Nr: 201991031

Event: 08/11/2004

Employee fractures legs when he losses his balance and falls

On August 11, 2004, Employee #1 was raking slurry when he lost his balance and fell backwards into a 10-ft deep excavation. He was hospitalized with fractured legs.

Keywords: FRACTURE, HIGHWAY, CONSTRUCTION, FALL, SLIPPERY SURFACE, LOST BALANCE, WORK SURFACE, ASPHALT, LEG

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	308069582			Hospitalized injury	Fracture	Occupation not reported

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