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Inspection Detail

Case Status: CLOSED

Inspection: 1247539.015 - Lake Of The Woods Llc

Inspection Information - Office: Appleton Area Office

 

Inspection Nr: 1247539.015
Report ID: 0521100
Date Opened: 07/18/2017

Site Address:
Lake Of The Woods Llc
N9070 14th Ave
Wautoma, WI 54982

Mailing Address:
N9070 14th Ave, Wautoma, WI 54982

Union Status: NonUnion

SIC:

NAICS: 721211/RV (Recreational Vehicle) Parks and Campgrounds


Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 07/18/2017

Emphasis: N:Trench

Case Closed: 01/08/2018


Related Activity
Type Activity Nr Safety Health
Referral 1241029 Yes
Case Status: CLOSED
Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 2 1 3
Current Violations 2 1 3
Initial Penalty $10,140 $0 $0 $3,622 $0 $13,762
Current Penalty $5,070 $0 $0 $1,811 $0 $6,881
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 19260651 C02 09/28/2017 10/12/2017 $2,535 $5,070 $0 I - Informal Settlement  
2. 01002A Serious 19260651 I01 09/28/2017 10/12/2017 $2,535 $5,070 $0 I - Informal Settlement  
3. 01002B Serious 19260651 K01 09/28/2017 10/12/2017 $0 $0 $0 I - Informal Settlement  
4. 01002C Serious 19260652 A01 09/28/2017 10/12/2017 $0 $0 $0 I - Informal Settlement  
5. 02001 Other 19040039 A02 09/28/2017 $1,811 $3,622 $0 I - Informal Settlement  

Investigation Summary

Investigation Nr: 97222.015
Event: 07/07/2017
Two employees are pinned by collapsing trench wall and susta

At 12:03 p.m. on July 7, 2017, a maintenance crew consisting of a maintenance manager, Employee #1, Employee #2, and Employee #3 were working in a drainage ditch that was approximately 200 ft long. They were preparing the ditch for pipe and to allow water to move freely from a high point to a lower point away from a campground. The walls of the ditch ran east to west and were sloped between 32 and 45 degrees. The soil was type C soil; mostly a sand consistency. The maintenance manager was operating a mini excavator along the majority of the ditch except between the two stone walls where there was not enough clearance for the excavator. Two 16 ft long stone-mortar walls were positioned approximately in the middle of the ditch; one on the north side and one on the south side. Employee #1 was working near the east end of the walls and Employee #2 on the west end. Employee #3 was walking back and forth on the south side of the ditch, handing down tools, etc. to the other employees as needed. At the time of the accident, Employee #1 and Employee #2 were hand shoveling between the stone walls. The manager was operating the excavator approximately 20 yards away to the west and Employee #3 was standing near the east corner of the south wall. The south wall gave way and collapsed into the ditch. Employee #1's leg was pinned up to the knee and Employee #2 was pinned up to the upper thigh. Employee #3 fell into the ditch, but was not injured. Employee #1 sustained a broken tibia and employee #2 sustained a broken femur, tibia, pelvis and T-3 vertebrae.

Keywords: Collapse, Falling Object, Fracture, Masonry Wall, Pinned, Struck By, Trench

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 1247539.015 50 M Non Hospitalized injury Groundskeepers and gardeners, except farm
2 1247539.015 50 M Hospitalized injury Groundskeepers and gardeners, except farm
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