Inspection Detail

Case Status: CLOSED

Inspection: 1312510.015 - Memorial Medical Center

Inspection Information - Office: Eau Claire Area Office

Inspection Nr: 1312510.015

Report ID: 0523900

Date Opened: 04/25/2018

Site Address:
Memorial Medical Center
1615 Maple Lane
Ashland, WI 54806

Mailing Address:
1615 Maple Lane, Ashland, WI 54806

Union Status: NonUnion

SIC:

NAICS: 622110/General Medical and Surgical Hospitals

Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 04/25/2018

Emphasis:

Case Closed: 10/22/2018

Related Activity
Type	Activity Nr	Safety	Health
Accident	1331010
Referral	1328807	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations	1					1
Initial Penalty	$12,934	$0	$0	$0	$0	$12,934
Current Penalty	$9,050	$0	$0	$0	$0	$9,050
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	19100022 A03	09/28/2018	10/22/2018	$9,050	$12,934	$0		I - Informal Settlement
2.	01001B	Serious	19100022 D02	09/28/2018	10/22/2018	$0	$0	$0		I - Informal Settlement

Investigation Summary

Investigation Nr: 105114.015

Event: 04/16/2018

Employee slips and falls on icy footpath and later dies from

At 11:00 a.m. on April 16, 2018, an employee was pulling a food cart up an incline from the main building entrance to the behavioral health unit and the employee slipped on some snow or ice. The employee developed a blood clot and died of a pulmonary embolism.

Keywords: Blood Clot, Fall, Heart, Slippery Surface

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1312510.015	64	F	Fatality		Kitchen workers, food preparation

Thank You for Visiting Our Website

You are exiting the Department of Labor's Web server.

The Department of Labor does not endorse, takes no responsibility for, and exercises no control over the linked organization or its views, or contents, nor does it vouch for the accuracy or accessibility of the information contained on the destination server. The Department of Labor also cannot authorize the use of copyrighted materials contained in linked Web sites. Users must request such authorization from the sponsor of the linked Web site. Thank you for visiting our site. Please click the button below to continue.