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Inspection Detail
Inspection: 308449651 - Leafguard Northwest Inc
Inspection Information - Office: Dosh Tumwater Service Location, Tumwater, Wa
Inspection Nr: 308449651
Report ID: 1055340
Date Opened: 09/23/2004
Site Address:
Leafguard Northwest Inc
I-5 At Marvin Rd.
Olympia, WA 98513
Mailing Address:
22431 72nd. Ave. S, Kent, WA 98032
Union Status: NonUnion
SIC:1761
NAICS: 238170/Siding Contractors
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 02/28/2005
Emphasis: L:Constr
Case Closed: 05/11/2005
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101198141 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citation Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Other | 1550011004 | 03/18/2005 | 04/20/2005 | $0 | $0 | $0 | - |
Investigation Summary
Investigation Nr: 202364600
Event: 09/18/2004
Employee is killed in motor vehicle accident
On September 18, 2004, workers were traveling in a van when the driver passed out and the van went out of control and struck the over pass. Employee #1 died.
Keywords: CHEST, UNCONSCIOUSNESS, STRUCK AGAINST, DRIVER, TRUCK, MOTOR VEHICLE, CONTUSION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 308449651 | Fatality | Bruise/Contus/Abras | Occupation not reported |