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Inspection Detail

Case Status: CLOSED

Inspection: 1514096.015 - Domlapal Enterprises, Llc

Inspection Information - Office: Madison Area Office

 

Inspection Nr: 1514096.015
Report ID: 0523300
Date Opened: 02/09/2021

Site Address:
Domlapal Enterprises, Llc
618 4th Street
Beloit, WI 53511

Mailing Address:
618 4th Street, Beloit, WI 53511

Union Status: NonUnion

SIC:

NAICS: 722513 


Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 05/27/2021

Emphasis:

Case Closed: 08/05/2021


Related Activity
Type Activity Nr Safety Health
Referral 1732006 Yes
Accident 1743954
Case Status: CLOSED

Investigation Summary

Investigation Nr: 133863.015
Event: 11/22/2020
Employee with COVID-19 infection dies

On November 22, 2020, an employee who had been working at a pizzeria died from COVID-19. The employee last worked on November 15, 2020, taking orders and preparing pizzas for delivery. On that date while still at work, the employee began experiencing signs and symptoms related to COVID-19 and he left work early. Prior to the employee's death, coworkers had tested positive for COVID-19 and/or showed signs and symptoms related to COVID-19. The workplace layout made social distancing challenging, no physical barriers were utilized, and face-covering usage was inconsistent. In March of 2021, the cause of death was ruled to be complications related to the COVID-19, including of severe acute respiratory syndrome.

Keywords: Infectious Disease

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 1514096.015 41 M Fatality
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