Inspection Detail

Case Status: CLOSED

Inspection: 1555099.015 - American Marine & Motorsports

Inspection Information - Office: Appleton Area Office

Inspection Nr: 1555099.015

Report ID: 0521100

Date Opened: 09/28/2021

Site Address:
American Marine & Motorsports
1100 East Green Bay Street
Shawano, WI 54166

Mailing Address:
830 East Green Bay Street, Shawano, WI 54166

Union Status: NonUnion

SIC:

NAICS: 441222/Boat Dealers

Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/28/2021

Emphasis:

Case Closed: 11/09/2022

Related Activity
Type	Activity Nr	Safety	Health
Accident	1816223
Referral	1815646	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations	2					2
Initial Penalty	$20,302	$0	$0	$0	$0	$20,302
Current Penalty	$20,302	$0	$0	$0	$0	$20,302
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	Latest Event
1.	01001	Serious	5A0001	02/17/2022	03/18/2022	$10,151	$10,151	$0	I - Informal Settlement
2.	01002A	Serious	19100132 A	02/17/2022	04/22/2022	$10,151	$10,151	$0	I - Informal Settlement
3.	01002B	Serious	19100132 D01	02/17/2022	04/22/2022	$0	$0	$0	I - Informal Settlement
4.	01002C	Serious	19100136 A	02/17/2022	04/22/2022	$0	$0	$0	I - Informal Settlement

Investigation Summary

Investigation Nr: 139612.015

Event: 09/26/2021

Employee dies after falling from ATV

At approximately 3:00 p.m. on September 23, 2021, an employee was working as an assembler for a boat dealer. He was riding on the back of a single seat 2014 Honda TRX500 Foreman ATV, with serial number 1HFTE44D1E40000937. A coworker was operating the ATV. He was going to the area outside of the fenced lot to show the employee which boats were to be moved to the indoor storage building. The employee climbed on the back of the ATV for the approximately fifty-yard (46-meter) trip over the paved surface. After riding approximately ten yards (9 meters), the employee fell off the back of the ATV. The left side of his head struck against the pavement. He suffered brain swelling from the trauma, and he was hospitalized. He was removed from life support at 10:00 a.m. on September 26, 2021.

Keywords: ATV, Brain, Fall On Same Level, Head, Modified, Pavement, Riding on Equipment, Struck Against, Subdural Hematoma, Training, Traumatic

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1555099.015	30	M	Fatality		Assemblers

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