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Inspection Detail
Inspection: 1063096.015 - Simply Incredible Foods, Llc
Inspection Information - Office: Madison Area Office
Site Address:
Simply Incredible Foods, Llc
140 Market Avenue
Port Edwards, WI 54469
Mailing Address:
198 River Street, Menasha, WI 54952
Union Status: NonUnion
SIC:
NAICS: 311411/ Frozen Fruit, Juice, and Vegetable Manufacturing
Inspection Type: Fat/Cat
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 11/04/2015
Emphasis: L:Piv
Case Closed: 11/20/2017
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 983835 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 4 | 4 | ||||
| Current Violations | 3 | 1 | 4 | |||
| Initial Penalty | $14,600 | $0 | $0 | $0 | $0 | $14,600 |
| Current Penalty | $10,950 | $0 | $0 | $0 | $0 | $10,950 |
| 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 | Other | 19100022 C | 11/09/2015 | 11/24/2015 | $0 | $2,000 | $0 | I - Informal Settlement | ||
| 2. | 01002A | Serious | 19100178 I01 | 11/09/2015 | 11/24/2015 | $7,000 | $7,000 | $0 | I - Informal Settlement | ||
| 3. | 01002B | Serious | 19101000 A02 | 11/09/2015 | 11/24/2015 | $0 | $0 | $0 | I - Informal Settlement | ||
| 4. | 01002C | Serious | 19101000 E | 11/09/2015 | 11/24/2015 | $0 | $0 | $0 | I - Informal Settlement | ||
| 5. | 01003 | Serious | 19100305 G01 I | 11/09/2015 | 12/02/2015 | $1,975 | $2,800 | $0 | I - Informal Settlement | ||
| 6. | 01004 | Serious | 19101200 H01 | 11/09/2015 | 12/02/2015 | $1,975 | $2,800 | $0 | I - Informal Settlement |
Investigation Summary
At 6:45 p.m. on May 13, 2015, an employee was working alone within an enclosed space for several hours using a Komatsu Forklift (Serial No. 173162). The employee was discovered lying face down on the floor inside the refrigerated production room by a co-worker and was unresponsive. Emergency services were contacted and the fire department responded. The carbon monoxide (CO) monitor the employee was carrying showed a CO level of 320 ppm. The employee was killed from long term exposure to Carbon Monoxide.
Keywords: Asphyxiated, Carbon Monoxide, Material Handling, Powered Industrial Vehicle, Toxic Atmosphere
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1063096.015 | 28 | M | Fatality | Machine operators, not specified |