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Inspection Detail
Inspection: 122017957 - Davies Water Equipment Co
Inspection Information - Office: Appleton Area Office
Site Address:
Davies Water Equipment Co
5350 N. Richmond St.
Appleton, WI 54913
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:5074
NAICS: 423720/Plumbing and Heating Equipment and Supplies (Hydronics) Merchant Wholesalers
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 05/21/2007
Emphasis: L:Piv, S:Powered Ind Vehicle
Case Closed: 06/21/2007
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 200651669 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | 2 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $4,500 | $0 | $0 | $0 | $0 | $4,500 |
| Current Penalty | $4,500 | $0 | $0 | $0 | $0 | $4,500 |
| 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 | 19100178 O01 | 05/24/2007 | 06/10/2007 | $4,500 | $4,500 | $0 | - | ||
| 2. | 02001 | Other | 19100178 L04 III | 05/24/2007 | 06/10/2007 | $0 | $0 | $0 | - |
Investigation Summary
At approximately 7:45 a.m. on May 16, 2007, Employee #1, a truck driver, was working with a coworker, a fork lift operator, loading six 6-inch ductile pipes, which were not secured, onto the back of a flatbed truck parked in the yard. The coworker was heading the forklift toward the truck from the side to unload the pipes. As the coworker got closer to the truck with the forks up, Employee #1 grabbed a strap from the strap box, and ran between the lift and the truck. The coworker thought that he would hit Employee #1 and applied the brakes, causing the front pipe to roll off of the tines and hit Employee #1 in the head. His head was pinned against the side of the truck bed, resulting in severe head injuries. He was hospitalized for his injury.
Keywords: FRACTURE, HEAD, INDUSTRIAL TRUCK, MECH MAT HANDLING, PIPE, STRUCK BY, FALLING OBJECT, FLATBED TRUCK, TRUCK DRIVER
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 122017957 | Hospitalized injury | Fracture | Occupation not reported |