Inspection Detail
Inspection: 102514957 - Polymer Technologies, Div. Mac Lean Fogg Company
Inspection Information - Office: Madison Area Office
Site Address:
Polymer Technologies, Div. Mac Lean Fogg Company
369 N. Newcomb St.
Whitewater, WI 53190
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:3089
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/02/1990
Planning Guide: Safety-Manufacturing
Emphasis:
Case Closed: 12/12/1990
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 360687818 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 5 | 6 | 11 | |||
| Current Violations | 5 | 6 | 11 | |||
| Initial Penalty | $3,420 | $0 | $0 | $0 | $0 | $3,420 |
| Current Penalty | $3,420 | $0 | $0 | $0 | $0 | $3,420 |
| 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 | Serious | 19100110 E04 III | 10/10/1990 | 10/11/1990 | $360 | $360 | $0 | - | ||
| 2. | 01002 | Serious | 19100147 C01 | 10/10/1990 | 12/10/1990 | $630 | $630 | $0 | I - Informal Settlement | ||
| 3. | 01003A | Serious | 19100176 A | 10/10/1990 | 10/11/1990 | $810 | $810 | $0 | - | ||
| 4. | 01003B | Serious | 19100178 M06 | 10/10/1990 | 10/11/1990 | $0 | $0 | $0 | - | ||
| 5. | 01004 | Serious | 19100178 L | 10/10/1990 | 11/09/1990 | $810 | $810 | $0 | - | ||
| 6. | 01005 | Serious | 19100242 A | 10/10/1990 | 10/11/1990 | $810 | $810 | $0 | - | ||
| 7. | 02001 | Other | 19040002 A | 10/10/1990 | 10/11/1990 | $0 | $0 | $0 | - | ||
| 8. | 02002 | Other | 19100020 D01 II | 10/10/1990 | 12/10/1990 | $0 | $0 | $0 | - | ||
| 9. | 02003 | Other | 19100020 G01 | 10/10/1990 | 12/10/1990 | $0 | $0 | $0 | - | ||
| 10. | 02004 | Other | 19100095 M01 | 10/10/1990 | 12/10/1990 | $0 | $0 | $0 | - | ||
| 11. | 02005 | Other | 19101200 E03 | 10/10/1990 | 11/09/1990 | $0 | $0 | $0 | - | ||
| 12. | 02006 | Other | 19101200 H | 10/10/1990 | 11/23/1990 | $0 | $0 | $0 | I - Informal Settlement |
Investigation Summary
Employee #1 was turning around a stand-up riding industrial truck on a dock leveler at an open dock door. The truck was traveling backwards immediately before it tipped and fell off the dock to the asphalt area outside. Employee #1 was crushed and killed. The dock leveler was fully lowered after the accident; its exact position prior to the accident is not known.
Keywords: DOCK, CRUSHED, INDUSTRIAL TRUCK, FALL, FALLING OBJECT, BACKING UP, OVERTURN
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 102514957 | Fatality | Fracture | Occupation not reported |
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