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Inspection Detail
Inspection: 1319726.015 - Slumberland, Inc.
Inspection Information - Office: Madison Area Office
Site Address:
Slumberland, Inc.
1660 Commerce Avenue
Baraboo, WI 53913
Mailing Address:
3060 Centerville Road, Little Canada, MN 55117
Union Status: NonUnion
SIC:
NAICS: 442110/Furniture Stores
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 06/01/2018
Emphasis: L:Fall
Case Closed: 08/20/2018
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1342536 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $9,239 | $0 | $0 | $0 | $0 | $9,239 |
| Current Penalty | $6,929 | $0 | $0 | $0 | $0 | $6,929 |
| 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 | 19100030 A01 | 07/27/2018 | 08/10/2018 | $6,929 | $9,239 | $0 | I - Informal Settlement |
Investigation Summary
At 6:00 p.m. on May 29, 2018, Employee #1 was working in a furniture warehouse at the third level of a storage rack, moving a sofa out of the racking onto his order picker. The employee already had one piece of furniture standing on its end on the order picker. As he moved the sofa onto the picker, the edge of the sofa began to tip off of the forklift. The employee tried to hold the sofa on the picker by pushing down on its side closest to the order. While doing so, the sofa continued to tip off of the picker and the employee fell approximately 12 feet to the cement ground below, with the sofa landing on top of him. Employee #1 was working alone, wearing a harness and lanyard at the time of the incident, but the lanyard was not attached to the picker. The employee was taken to the hospital by ambulance. He sustained an epidural hematoma, a subarachnoid hemorrhage, a skull fracture, a closed fracture to the temporal bone, a left pulmonary contusion, and a laceration of his temple. The employee was hospitalized and treated for his injuries.
Keywords: Contusion, Fall, Fall Protection, Fracture, Hemorrhage, Laceration, Lanyard, PPE, Powered Industrial Vehicle, Skull
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1319726.015 | 27 | M | Hospitalized injury | Occupation Not Listed |