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### Inspection Detail

**Case Status: CLOSED**

#### **Inspection: 1540689.015 - 103110 - Jd Peterick Inc Dba Northwest Asphalt - Maint**

**Inspection Information - Office: Minnesota**

 

**Inspection Nr**

**Report ID**

**Date Opened**

----

**Site Address**: 			   103110 - Jd Peterick Inc Dba Northwest Asphalt - Maint			   16761 Marschall RoadShakopee, MN 55379

**Mailing Address**: 			   11560 190th Street Ne, Thief River Falls, MN 56701

**Union Status**: NonUnion

**SIC**:

**NAICS**: 237310/ Highway, Street, and Bridge Construction

----

**Inspection Type**: Fat/Cat

**Scope**: Partial

**Advanced Notice**: N

**Ownership**: Private

**Safety/Health**: Safety

**Close Conference**: 08/06/2021

**Emphasis**:

**Case Closed**: 08/17/2021

----

**Case Status: CLOSED**

#### **Investigation Summary**

**Investigation Nr**

**Event**

At 12:00 p.m. on June 28, 2021, an employee worked as a flagger for a road crew sealing road cracks. At some point, a motor vehicle swerved and struck the employee who was taken to the hospital for treatment. The employee was transferred to another hospital and died a few days later.

**Keywords:**flagger, motor vehicle, road, struck by
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