Inspection Detail

Case Status: CLOSED

Inspection: 1215985.015 - Tri City Drywall Company

Inspection Information - Office: Appleton Area Office

Inspection Nr: 1215985.015

Report ID: 0521100

Date Opened: 03/09/2017

Site Address:
Tri City Drywall Company
W4659 Co Rd G
Black Creek, WI 54106

Mailing Address:
313 E Lincoln Avenue, Little Chute, WI 54140

Union Status: NonUnion

SIC:

NAICS: 238310/Drywall and Insulation Contractors

Inspection Type: Complaint

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 03/09/2017

Emphasis: L:Fall

Case Closed: 11/27/2019

Related Activity
Type	Activity Nr	Safety	Health
Complaint	1189378	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2			2		4
Current Violations	2			2		4
Initial Penalty	$5,432	$0	$0	$2,716	$0	$8,148
Current Penalty	$5,432	$0	$0	$2,716	$0	$8,148
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Current Penalty	Initial Penalty	FTA Penalty	Latest Event
1.	01001	Serious	19260405 B02	03/31/2017	$2,173	$2,173	$0	Z - Issued
2.	01002A	Serious	19260502 I03	03/31/2017	$3,259	$3,259	$0	Z - Issued
3.	01002B	Serious	19260502 I04	03/31/2017	$0	$0	$0	Z - Issued
4.	02001	Other	19040039 A02	03/31/2017	$2,716	$2,716	$0	Z - Issued
5.	02002	Other	19260405 G02 IV	03/31/2017	$0	$0	$0	Z - Issued

Investigation Summary

Investigation Nr: 93868.015

Event: 03/09/2017

Employee falls through an unmarked and unsecured floor hole

On March 9, 2017, an employee was eating and walking around an unmarked and unsecured floor hole cover. The employee stepped inadvertently on an unsecured floor hole cover which moved, and the employee fell through the hole 9 ft. to the lower surface with the cover landing on top of him. The employee fractured L3 vertebrae, suffered contusion to left hip, and scratches to head. The employee was hospitalized and treated for his injuries.

Keywords: Fall, Fracture, Residential Construction, Unguarded Fl Opening, Vertebra

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1215985.015	38	M	Hospitalized injury		Carpenters

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