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Inspection Detail
Inspection: 1560180.015 - Performance Pallet Corp.
Inspection Information - Office: Appleton Area Office
Site Address:
Performance Pallet Corp.
112 N Mainline Dr
Seymour, WI 54165
Mailing Address:
112 N Mainline Dr, Seymour, WI 54165
Union Status: NonUnion
SIC:
NAICS: 321920/Wood Container and Pallet Manufacturing
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/26/2021
Emphasis: L:Pallet, L:Piv
Case Closed: 07/15/2022
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1826843 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 5 | 5 | ||||
| Current Violations | 5 | 5 | ||||
| Initial Penalty | $65,260 | $0 | $0 | $0 | $0 | $65,260 |
| Current Penalty | $60,000 | $0 | $0 | $0 | $0 | $60,000 |
| 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 | 19100146 C01 | 04/13/2022 | $13,052 | $13,052 | $0 | I - Informal Settlement | |||
| 2. | 01001B | Serious | 19100146 C02 | 04/13/2022 | 05/18/2022 | $0 | $0 | $0 | I - Informal Settlement | ||
| 3. | 01001C | Serious | 19100146 C04 | 04/13/2022 | 05/18/2022 | $0 | $0 | $0 | I - Informal Settlement | ||
| 4. | 01001D | Serious | 19100146 D10 | 04/13/2022 | 05/18/2022 | $0 | $0 | $0 | I - Informal Settlement | ||
| 5. | 01002A | Serious | 19100146 D03 | 04/13/2022 | 05/18/2022 | $13,052 | $13,052 | $0 | I - Informal Settlement | ||
| 6. | 01002B | Serious | 19100147 C04 I | 04/13/2022 | 05/18/2022 | $0 | $0 | $0 | I - Informal Settlement | Citation has been deleted. | |
| 7. | 01003A | Serious | 19100146 E01 | 04/13/2022 | 05/18/2022 | $13,052 | $13,052 | $0 | I - Informal Settlement | ||
| 8. | 01003B | Serious | 19100147 D | 04/13/2022 | 05/18/2022 | $0 | $0 | $0 | I - Informal Settlement | ||
| 9. | 01004 | Serious | 19100146 G01 | 04/13/2022 | 05/18/2022 | $13,052 | $13,052 | $0 | I - Informal Settlement | ||
| 10. | 01005A | Serious | 19100212 A01 | 04/13/2022 | 05/11/2022 | $7,792 | $13,052 | $0 | I - Informal Settlement | ||
| 11. | 01005B | Serious | 19100212 A02 | 04/13/2022 | 05/11/2022 | $0 | $0 | $0 | I - Informal Settlement |
Investigation Summary
At 1:50 p.m. on October 25, 2021, an employee, a maintenance worker, was preparing a loading dock to install an airbag. A coworker, operating a wheel loader with fork attachment, lifted an outdoor loading dock plate and the employee braced the plate with a 4-inch wide, 4-inch deep, by 48-inch long wooden block. The wheel loader fork was removed, and the employee used hand tools, including a hoe and shovel, to remove dirt and debris from under the dock equipment. The employee was standing in front of the loading dock with the edge of the plate overhead when the dock plate fell and crushed him. The employee died due to crushing injuries to his head and neck.
Keywords: Blunt force, Blunt force trauma, Brace, Bracing, Crushed, Debris, Dock, Falling Object, Forks, Hand Tool, Head, Installing, Loading Dock, Maintenance, Neck, Shovel, Struck By, Wheel Loader
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1560180.015 | 62 | M | Fatality | Machinery maintenance occupations |