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Inspection Detail
Inspection: 1215316.015 - Lakeside International, Llc
Inspection Information - Office: Naperville Area Office
Site Address:
Lakeside International, Llc
5190 28 Th Ave
Rockford, IL 61109
Mailing Address:
11000 W Silver Spring Rd P.O. Box 250827, Milwaukee, WI 53225
Union Status: NonUnion
SIC:
NAICS: 441229/All Other Motor Vehicle Dealers
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 03/06/2017
Emphasis:
Case Closed: 03/16/2017
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1188567 |
Investigation Summary
At 3:00 p.m. on February 27, 2017, Employee #1 arrived at the jobsite to introduce his coworker, who was taking over the job, since he was scheduled to retire the next day. As the two employees ascended the fixed cement stairs located on the exterior of the building, Employee #1 fell backwards down the stairs. The employee was transported to the hospital and it was determined that he had sustained a broken shoulder, elbow, and hand. At approximately 5:00 p.m. on March 3, 2017, Employee #1 died due to heart complications.
Keywords: Arm, Concrete, Elbow, Fall, Fracture, Hand, Heart, Shoulder, Stair, Struck Against
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1215316.015 | 67 | M | Fatality | Sales occupations, other business services |