Inspection Detail
Inspection: 1534403.015 - Weather Shield Mfg., Inc.
Inspection Information - Office: Eau Claire Area Office
Site Address: 
			   Weather Shield Mfg., Inc.
			   642 South Whelen Avenue
Medford, WI 54451
Mailing Address: 
			   P.O. Box 309, Medford, WI 54451
Union Status: NonUnion
SIC:
NAICS: 321911/Wood Window and Door Manufacturing
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 06/03/2021
Emphasis: P:Piv, L:Fall, L:Piv
Case Closed: 10/06/2021
| Type | Activity Nr | Safety | Health | 
|---|---|---|---|
| Referral | 1770339 | Yes | 
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total | 
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $8,046 | $0 | $0 | $0 | $0 | $8,046 | 
| Current Penalty | $5,632 | $0 | $0 | $0 | $0 | $5,632 | 
| 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. | 01001A | Serious | 19100178 A04 | 09/08/2021 | 09/22/2021 | $5,632 | $8,046 | $0 | I - Informal Settlement | ||
| 2. | 01001B | Serious | 19100178 O01 | 09/08/2021 | 09/22/2021 | $0 | $0 | $0 | I - Informal Settlement | 
Investigation Summary
At 10:25 a.m. on May 21, 2021, an employee working as a maintenance worker for a wood window and door manufacturer was moving stored pedestal fans from an overhead mezzanine. The employee was in the process of moving the fans to an adjacent elevated cart placed on the forks of a Linde model brand E20 forklift platform. After placing two fans on one side of the cart, the employee stepped onto the center of the cart in an attempt to place the third fan on the cart's opposite end. After placing the third fan, the cart became unstable and tipped off the forks. The employee fell approximately 11.5 feet and landed on the concrete floor. The employee was transported to a local hospital by emergency medical services and admitted to treat multiple spinal compression fractures.
Keywords: Back, Blunt force, Blunt force trauma, Cart, Elevated Work Plat, Elevated Work Platform, Fall, Fall From Elevation, Fall Protection, Forklift, Forks, Fracture, Industrial Truck, Lack of Work Procedures, Maintenance, Manufacturing, Material Handling, Misjudgment, Misjudgment of Hazardous Situation, PPE, PPE Hazard Assessment, Platform, Powered Industrial Vehicle, Raised platform, Spine, Unsafe Position, Unstable Position, Unstable Surface, Work Surface, Wrong Equipment
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation | 
|---|---|---|---|---|---|---|
| 1 | 1534403.015 | 21 | M | Hospitalized injury | 
 Translate
Translate