Inspection Detail

Inspection: 122016918 - Quality State Oil Co Inc

Inspection Information - Office: Appleton Area Office

Inspection Nr: 122016918

Report ID: 0521100

Date Opened: 04/05/2005

Site Address:
Quality State Oil Co Inc
2201 Calumet Dr.
Sheboygan, WI 53082

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:5172

NAICS: 424720/Petroleum and Petroleum Products Merchant Wholesalers (except Bulk Stations and Terminals)

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 04/05/2005

Emphasis:

Case Closed: 05/27/2005

Related Activity
Type	Activity Nr	Safety	Health
Accident	100650605

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations	1					1
Initial Penalty	$3,500	$0	$0	$0	$0	$3,500
Current Penalty	$2,500	$0	$0	$0	$0	$2,500
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	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	05/04/2005	05/08/2005	$2,500	$3,500	$0		I - Informal Settlement

Investigation Summary

Investigation Nr: 200651040

Event: 03/29/2005

Fuel Oil Deliveryman Killed in Fall from Ladder on Truck

At approximately 6:00 p.m. on March 29, 2005, Employee #1 was delivering a load of fuel oil to a customer's above-ground fuel tank. The customer requires that an anti-gel fuel additive be added to the fuel before it is dispensed. Employee #1 had climbed the ladder on the back of the fuel truck while carrying the additive that was in a five-gallon plastic container. The additive had to be manually poured into one of the tanker's compartments which is normally done during the cold weather months at this and other tank locations. Apparently, Employee #1 fell backward from the ladder, struck his head on the concrete slab, and was killed. Estimated length of fall was 3 to 4 feet. The weather was clear and dry.

Keywords: TANK TRUCK, FRACTURE, STRUCK AGAINST, FIXED LADDER, SKULL, TRUCK, FALL, CONCRETE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	122016918			Fatality	Fracture	Occupation not reported

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