Inspection Detail

Inspection: 310003629 - Patriot Pavement Development

Inspection Information - Office: Dosh Tumwater Service Location, Tumwater, Wa

Inspection Nr: 310003629

Report ID: 1055340

Date Opened: 05/25/2006

Site Address:
Patriot Pavement Development
Sr 502 At Ne 22nd Ave
Battle Ground, WA 98604

Mailing Address:
Po Box 1617, Battle Ground, WA 98604

Union Status: NonUnion

SIC:1721

NAICS: 237310/ Highway, Street, and Bridge Construction

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 06/30/2006

Emphasis:

Case Closed: 10/01/2006

Related Activity
Type	Activity Nr	Safety	Health
Accident	101199438

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				1		1
Current Violations				1		1
Initial Penalty	$0	$0	$0	$100	$0	$100
Current Penalty	$0	$0	$0	$100	$0	$100
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.	01001	Other	80032005	07/27/2006	05/25/2006	$100	$100	$0		-

Investigation Summary

Investigation Nr: 202365896

Event: 05/23/2006

Employee Is Killed in Head-On Collision

On May 23, 2006, Employee #1 was working for a company that painted highway traffic lane markings. He was traveling in a company sweeper eastbound on Washington SR-502, when he was struck by an oncoming vehicle, a large Ford F-700 box van, that had crossed the centerline into the lane occupied by Employee #1's vehicle, hitting him head-on. He sustained burn injuries, and he was killed.

Keywords: BURN, HIGHWAY, TRAFFIC ACCIDENT, PAINT, MOTOR VEHICLE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	310003629			Fatality	Burn/Scald(Heat)	Occupation not reported

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