Inspection Detail

Inspection: 316367390 - Clean Fuels Of Indiana, Inc

Inspection Information - Office: Nc Department Of Labor - Raleigh

Inspection Nr: 316367390

Report ID: 0453710

Date Opened: 06/14/2012

Site Address:
Clean Fuels Of Indiana, Inc
4000 New Bern Avenue
Raleigh, NC 27610

Mailing Address:
4620 E 900 S, Keystone, IN 46759

Union Status: NonUnion

SIC:8734

NAICS: 541380/Testing Laboratories

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 10/01/2012

Planning Guide: Health-Manufacturing

Emphasis: S:Program Improvements

Case Closed: 10/09/2012

Related Activity
Type	Activity Nr	Safety	Health
Accident	100364108

Investigation Summary

Investigation Nr: 200361210

Event: 06/13/2012

Employee Is Struck by a Motor Vehicle and Is Killed

On June 13, 1012, Employee #1, with Clean Fuels of Indiana, Inc., was testing fuel at a manhole located at a gas station when he was struck by a car from behind and killed.

Keywords: AUTOMOBILE, STRUCK BY, GASOLINE, MANHOLE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	316367390			Fatality	Other	Occupation not reported

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