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Inspection Detail
Inspection: 315007401 - Clark County-Ambulance Service
Inspection Information - Office: Illinois Public Sector 0551701
Site Address:
Clark County-Ambulance Service
County Road 300n And Illinois 1
West Union, IL 62477
Mailing Address:
405 E. Cumberland Street - Attn:Carla Zachary, Martinsville, IL 62442
Union Status: NonUnion
SIC:9229
NAICS: 922190/ Other Justice, Public Order, and Safety Activities
Inspection Type: Accident
Scope: Partial
Advanced Notice: Y
Ownership: LocalGovt
Safety/Health: Safety
Close Conference: 10/13/2010
Emphasis:
Case Closed: 12/22/2010
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102641313 |
| 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 | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Other | 3500210 | 12/15/2010 | 01/04/2011 | $0 | $0 | $0 | - |
Investigation Summary
On October 9. 2010, Employee #1 was an EMT with the Clark County Ambulance Service. He was attending to a patient in an ambulance which was traveling northbound. Employee #1 was injured when a westbound truck ran a stop sign and broadsided the ambulance. The ambulance overturned and sustained extensive damage to the left side. Employee #1 and the patient were ejected from the ambulance. Employee #1 died.
Keywords: EJECTED, HEALTH CARE WORKER, TRAFFIC ACCIDENT, EMERGENCY RESPONSE, ROLL-OVER
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 315007401 | Fatality | Other | Occupation not reported |