Inspection Detail

Case Status: CLOSED

Inspection: 1222446.015 - Don'S Mobile Manor, Inc.

Inspection Information - Office: Madison Area Office

Inspection Nr: 1222446.015

Report ID: 0523300

Date Opened: 04/04/2017

Site Address:
Don'S Mobile Manor, Inc.
5441 Kalesey Court (Lot 5)
Waunakee, WI 53597

Mailing Address:
7442 Meadow Valley Road, Middleton, WI 53562

Union Status: NonUnion

SIC:

NAICS: 531190/Lessors of Other Real Estate Property

Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 04/05/2017

Emphasis:

Case Closed: 08/18/2017

Related Activity
Type	Activity Nr	Safety	Health
Accident	1198810

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations	2					2
Initial Penalty	$6,519	$0	$0	$0	$0	$6,519
Current Penalty	$5,215	$0	$0	$0	$0	$5,215
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	Latest Event
1.	01001	Serious	19101000 A02	05/18/2017	07/13/2017	$3,042	$3,803	$0	I - Informal Settlement
2.	01002A	Serious	19101200 E01	05/18/2017	07/27/2017	$2,173	$2,716	$0	I - Informal Settlement
3.	01002B	Serious	19101200 H01	05/18/2017	07/27/2017	$0	$0	$0	I - Informal Settlement

Investigation Summary

Investigation Nr: 94453.015

Event: 04/03/2017

Employee is killed from exposure to carbon monoxide

At approximately 9:00 p.m. on April 3, 2017, an employee, maintenance worker at a mobile home park, was operating a Craftsman gas powered pressure washer (1800psi, 2.0gpm, 5.0HP, Model: 580.768010, Serial: 5400248) to assist with cleaning of a laundry room floor. The employee was killed by asphyxiation apparently from exposure to carbon monoxide.

Keywords: Asphyxiated, Carbon Monoxide, Inhalation

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1222446.015	62	M	Fatality		Laborers, except construction

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