Inspection Detail

Case Status: CLOSED

Inspection: 1306353.015 - Great Lakes Foods Of Tomahawk

Inspection Information - Office: Appleton Area Office

Inspection Nr: 1306353.015

Report ID: 0521100

Date Opened: 04/04/2018

Site Address:
Great Lakes Foods Of Tomahawk
990 N. 4th St.
Tomahawk, WI 54487

Mailing Address:
1230 48th Ave., Menominee, MI 49858

Union Status: NonUnion

SIC:

NAICS: 445110/Supermarkets and Other Grocery (except Convenience) Stores

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 04/04/2018

Emphasis: L:Fall

Case Closed: 09/11/2018

Related Activity
Type	Activity Nr	Safety	Health
Referral	1322999	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations	1					1
Initial Penalty	$9,055	$0	$0	$0	$0	$9,055
Current Penalty	$4,528	$0	$0	$0	$0	$4,528
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.	01001A	Serious	19100023 C10	08/15/2018	08/29/2018	$4,528	$9,055	$0		I - Informal Settlement
2.	01001B	Serious	19100030 B01	08/15/2018	08/29/2018	$0	$0	$0		I - Informal Settlement

Investigation Summary

Investigation Nr: 104421.015

Event: 03/28/2018

Employee falls from ladder and is hospitalized with multiple

At 11:19 a.m. on March 28, 2018, an employee was using a 24 foot Werner fiberglass extension ladder to access an advertisement sign located in the front parking lot and was approximately 14 feet higher than the landscaped bed that was surrounded by paver bricks. The employee fell to the pavers when the ladder slid out away from the sign and he suffered fractured bones in both wrists and right leg, and severed an artery. The employee was hospitalized.

Keywords: Artery, Brick, Fall, Fracture, Ladder, Leg, Severed, Wrist

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1306353.015	54	M	Hospitalized injury		Laborers, except construction

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