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Inspection Detail
Inspection: 1414736.015 - Chula Vista, Inc.
Inspection Information - Office: Madison
Site Address:
Chula Vista, Inc.
2501 River Road
Wisconsin Dells, WI 53965
Mailing Address:
P.O. Box 30, Wisconsin Dells, WI 53965
Union Status: NonUnion
SIC:
NAICS: 721110/Hotels (except Casino Hotels) and Motels
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 09/20/2019
Emphasis: L:Fall
Case Closed: 11/05/2019
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1473576 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $13,638 | $0 | $0 | $0 | $0 | $13,638 |
| Current Penalty | $8,228 | $0 | $0 | $0 | $0 | $8,228 |
| 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 | 19100023 B08 | 09/27/2019 | 10/31/2019 | $4,114 | $6,819 | $0 | I - Informal Settlement | ||
| 2. | 01002 | Serious | 19100030 B01 | 09/27/2019 | 10/31/2019 | $4,114 | $6,819 | $0 | I - Informal Settlement |
Investigation Summary
At 10:45 a.m. on July 8, 2019, an employee was tightening hardware used to secure 2 by 12 wood support beams while replacing beams on an outdoor water slide at a resort park. The employee had been standing on a 6 foot aluminum step ladder and stepped down from the second rung when the ladder shifted and the employee fell against the concrete catching his right leg between two of the rungs. The employee had placed the ladder in a vertical position against a support post on the water slide and did not fold out the ladder sections so that the rungs and ladder feet were level and parallel with the ground as required. The employee sustained a compound fracture of the right tibia and was hospitalized.
Keywords: Beam, Blunt force, Blunt force trauma, Caught In, Concrete, Fall, Falling Object, Fracture, Installing, Ladder, Leg, Lost Balance, Lost Control, Metal Ladder, Repair, Slide, Stepladder, Tibia, Training
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1414736.015 | 49 | M | Hospitalized injury | Technicians, n.e.c. |