Inspection Detail

Inspection: 307198044 - Dominos Pizza

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

Inspection Nr: 307198044

Report ID: 1055360

Date Opened: 02/10/2004

Site Address:
Dominos Pizza
4700 Blk S. Craig Rd
Spokane, WA 99022

Mailing Address:
726 W 3rd, Spokane, WA 99201

Union Status: NonUnion

SIC:5812

NAICS: 722211/Limited-Service Restaurants

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 03/10/2004

Emphasis: L:Wasafety

Case Closed: 05/11/2004

Related Activity
Type	Activity Nr	Safety	Health
Accident	101197069

Violation Summary
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

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	8001302501	04/12/2004	02/10/2004	$0	$0	$0		-

Investigation Summary

Investigation Nr: 202363578

Event: 02/05/2004

Employee killed in automobile collision

At approximately 6:14 p.m. on February 5, 2004, Employee #1, a delivery driver, was working for Dominos Pizza in Spokane, Washington. The area was engulfed in a dense fog. The employee was struck head-on by an on-coming vehicle that was attempting to pass another vehicle. Employee #1 was killed, and the causes of death were found to be a Basilar skull fracture, brain laceration and blunt impact to the head.

Keywords: FRACTURE, COLLISION, LACERATION, SKULL, AUTOMOBILE, STRUCK BY, BRAIN

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	307198044			Fatality	Fracture	Occupation not reported

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