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Occupational Safety and Health Administration OSHA

Inspection Detail

Case Status: CLOSED

Inspection: 1506004.015 - Ashley Furniture Industries, Llc.

Inspection Information - Office: Eau Clair


Inspection Nr: 1506004.015
Report ID: 0523900
Date Opened: 12/10/2020

Site Address:
Ashley Furniture Industries, Llc.
One Ashley Way
Arcadia, WI 54612

Mailing Address:
One Ashley Way, Arcadia, WI 54612

Union Status: NonUnion


NAICS: 337121/Upholstered Household Furniture Manufacturing

Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 05/07/2021


Case Closed: 09/10/2021

Related Activity
Type Activity Nr Safety Health
Accident 1703143
Case Status: CLOSED
Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 2 2
Current Violations 2 2
Initial Penalty $27,306 $0 $0 $0 $0 $27,306
Current Penalty $19,115 $0 $0 $0 $0 $19,115
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 19100147 C04 II A 06/04/2021 08/16/2021 $9,558 $13,653 $0 I - Informal Settlement  
2. 01001B Serious 19100147 C04 II B 06/04/2021 07/01/2021 $0 $0 $0 I - Informal Settlement Citation has been deleted.
3. 01001C Serious 19100147 C04 II C 06/04/2021 07/01/2021 $0 $0 $0 I - Informal Settlement Citation has been deleted.
4. 01001D Serious 19100147 C04 II D 06/04/2021 08/16/2021 $0 $0 $0 I - Informal Settlement  
5. 01002 Serious 19100147 D 06/04/2021 08/16/2021 $9,558 $13,653 $0 I - Informal Settlement  

Investigation Summary

Investigation Nr: 131676.015
Event: 12/09/2020
Employee Is Killed When Struck By Board While Setting Up Lam

At approximately 12:00 p.m. on December 9, 2020, an employee who was a hymmen la minator line operator and a coworker were restringing laminate paper by hand th rough heated chrome rollers after a paper break occurred. On December 9, 2020, a t approximately 12:00 p.m., the employee was fatally injured while feeding paper into the hymmen laminator machine during setup operations. The employee used the employer's alternative energy isolation procedure which included turning the hymmen laminator line controls to manual, isolating sections of the line with a trap key system, and pushing a material table (small infrared table) out of the way, before entering between the powered glue application roller and chrome lam ination roller sections. The employee stood between the roller sections to hand -feed the tailpiece of laminate paper through the infeed side of the chrome lami nation rollers to a coworker standing on the outfeed side. An approximate 5 ft. x 6 ft. sheet of 5/8 in. thick medium-density fiberboard (MDF) automatically fe d through the powered glue application rollers striking the employee in the abdo men and pinning the employee against the chrome rollers. Emergency medical serv ices (EMS) were called and life-saving efforts of cardiopulmonary resuscitation (CPR) were initiated by fellow employees in the laminator area until EMS arrived on site and took over. The employee was killed

Keywords:abdomen, board, cpr, pinned, roller--mach/part, struck by

Investigated Inspection
# Inspection Age Sex Degree Nature Occupation
1 1506004.015 Fatality Machine operators, not specified
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