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Inspection Detail
Inspection: 1543358.015 - Certco, Inc.
Inspection Information - Office: Madison Area Office
Site Address:
Certco, Inc.
2730 Daniels Street
Madison, WI 53711
Mailing Address:
5321 Verona Road, Madison, WI 53711
Union Status: NonUnion
SIC:
NAICS: 424410/General Line Grocery Merchant Wholesalers
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 07/22/2021
Emphasis: L:Piv
Case Closed: 10/25/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1787320 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $9,753 | $0 | $0 | $0 | $0 | $9,753 |
| Current Penalty | $5,852 | $0 | $0 | $0 | $0 | $5,852 |
| 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 | 19100178 N04 | 09/24/2021 | 10/08/2021 | $5,852 | $9,753 | $0 | I - Informal Settlement |
Investigation Summary
At 9:00 a.m. on July 15, 2021, Employee #1, a Janitor, was operating a stand-up power pallet jack in aisle CB with a load behind him. A coworker, a Forklift Operator, was stopped at a cut-through from aisle CA to CB with forklift forks in the aisle. Employee #1 struck the coworker's stopped forklift, resulting in fractures to Employee 1's right lower leg and contusions to the left leg. The employee was hospitalized.
Keywords: Collision, Contusion, Forklift, Fracture, Jack, Leg, Pallet Jack
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1543358.015 | 47 | F | Hospitalized injury | Janitors and cleaners |