Inspection Detail
Inspection: 122016918 - Quality State Oil Co Inc
Inspection Information - Office: Appleton Area Office
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
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 100650605 |
| 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 |
| # | 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
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
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 122016918 | Fatality | Fracture | Occupation not reported |
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