Inspection Detail

Case Status: CLOSED

Inspection: 1478295.015 - Erickson'S Diversified Corporation

Inspection Information - Office: Eau Claire Area Office

Inspection Nr: 1478295.015

Report ID: 0523900

Date Opened: 06/11/2020

Site Address:
Erickson'S Diversified Corporation
17158 County Hwy J
Chippewa Falls, WI 54729

Mailing Address:
850 76th Street Sw P.O. Box 8700, Grand Rapids, MI 49518

Union Status: NonUnion

SIC:

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

Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 06/16/2020

Emphasis:

Case Closed: 06/09/2021

Related Activity
Type	Activity Nr	Safety	Health
Accident	1603576
Referral	1599490	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				1		1
Current Violations				1		1
Initial Penalty	$0	$0	$0	$6,747	$0	$6,747
Current Penalty	$0	$0	$0	$5,400	$0	$5,400
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.	01001	Other	19040039 A02	09/03/2020	09/14/2020	$5,400	$6,747	$0		I - Informal Settlement

Investigation Summary

Investigation Nr: 126869.015

Event: 06/09/2020

Employee falls at same level, sustains broken hip, later die

At 12:00 p.m. on May 25, 2020, Employee # 1 was unloading produce from a pallet in the produce cooler. Once he was finished, he went to stack the empty pallet onto the others, lost his balance, and fell to the floor. He was in the process of moving a pallet by hand when he fell at the same level. According to the employer, Employee # 1 stated his leg gave out. Employee # 1 was hospitalized for his injuries, and sustained a fractured hip. Employee # 1 was hospitalized from May 25, 2020 to May 26, 2020, during which time he had surgery for a fractured hip. On June 9, 2020, Employee # 1 died at home due to surgery complications including cellulitis and underlying medical conditions.

Keywords: Fall, Fracture, Hip, Lost Balance, Off Loading, Pallet

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1478295.015	76	M	Fatality

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