Inspection Detail
Inspection: 102515921 - Don'S Repair & Machine Corp.
Inspection Information - Office: Madison Area Office
Site Address:
Don'S Repair & Machine Corp.
251 W. Adams
Lake Delton, WI 53940
Mailing Address:
P.O. Box 188, Lake Delton, WI 53940
Union Status: NonUnion
SIC:3599
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: Y
Ownership: Private
Safety/Health: Safety
Close Conference: 05/23/1991
Planning Guide: Safety-Manufacturing
Emphasis:
Case Closed: 08/05/1991
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 360117857 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 3 | 4 | |||
| Current Violations | 1 | 3 | 4 | |||
| Initial Penalty | $750 | $0 | $0 | $0 | $0 | $750 |
| Current Penalty | $375 | $0 | $0 | $0 | $0 | $375 |
| 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 | 5A0001 | 06/12/1991 | 06/15/1991 | $375 | $750 | $0 | I - Informal Settlement | ||
| 2. | 02001 | Other | 19100147 C01 | 06/12/1991 | 07/31/1991 | $0 | $0 | $0 | I - Informal Settlement | ||
| 3. | 02002 | Other | 19101200 E01 | 06/12/1991 | 07/31/1991 | $0 | $0 | $0 | I - Informal Settlement | ||
| 4. | 02003 | Other | 19101200 H01 | 06/12/1991 | 07/31/1991 | $0 | $0 | $0 | I - Informal Settlement |
Investigation Summary
DECEASED WAS STRUCK BY FLATBED SEMI-TRAILER RAMP WHICH WAS BEING HELP UP BY HOIST WHEN THE HOIST CHAIN CAME UNHOOKED AND DROPPED THE RAMP. EMPLOYEE WAS UNDER THE LOAD ADJUSTING A PIVOT PIN.
Keywords: CHAIN, RAMP, WORK RULES, STRUCK BY, FALLING OBJECT, INATTENTION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 102515921 | Fatality | Fracture | Occupation not reported |
Translate