Inspection Detail

Case Status: CLOSED

Inspection: 1365682.015 - Sussex Im, Inc.

Inspection Information - Office: Milwaukee Area Office

Inspection Nr: 1365682.015

Report ID: 0523400

Date Opened: 12/12/2018

Site Address:
Sussex Im, Inc.
N65 W24770 Main Street
Sussex, WI 53089

Mailing Address:
N65 W24770 Main Street, Sussex, WI 53089

Union Status: NonUnion

SIC:

NAICS: 333249

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 12/12/2018

Emphasis: L:Piv

Case Closed: 01/24/2019

Related Activity
Type	Activity Nr	Safety	Health
Referral	1406671	Yes
Inspection	1310137	Yes

Case Status: CLOSED

Investigation Summary

Investigation Nr: 111764.015

Event: 12/04/2018

Employee is struck by forklift and fractures pelvis

At 8:45 a.m. on December 4, 2018, an employee was walking with a hand truck when he was struck by a forklift, fracturing his pelvis. The employee was hospitalized.

Keywords: Forklift, Fracture, Pelvis, Powered Industrial Vehicle, Struck By

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1365682.015	50	M	Hospitalized injury		Laborers, except construction

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.