Inspection Detail

Inspection: 315181289 - Northwest Region

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

Inspection Nr: 315181289

Report ID: 1055310

Date Opened: 08/16/2011

Site Address:
Northwest Region
E. Camano Dr. Sunrise Blvd.
Camano Island, WA 98133

Mailing Address:
Attn Melanie Wimmer Po Box 47310, Olympia, WA 98504

Union Status: NonUnion

SIC:9621

NAICS: 926120/Regulation and Administration of Transportation Programs

Inspection Type: Accident

Scope: No Insp/Other

Advanced Notice: N

Ownership: StateGovt

Safety/Health: Safety

Close Conference: 10/06/2011

Emphasis:

Case Closed: 10/06/2011

Related Activity
Type	Activity Nr	Safety	Health
Accident	102370301

Investigation Summary

Investigation Nr: 202368957

Event: 08/16/2011

Employee Struck by Vehicle

Employee #1 and Employee #2 was working on a street light when an on coming vehicle struck another vehicle and then struck Employee #1 and Employee #2 pinning them between the two vehicle's.employe 31 required hospitalization for his injuries, Employee #2 was treat and released for jhsi.

Keywords: VEHICLE, PINNED, STRUCK BY

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	315181289			Hospitalized injury	Amputation	Occupation not reported
2	315181289			Non Hospitalized injury	Other	Occupation not reported

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