Inspection Detail

Case Status: CLOSED

Inspection: 1578743.015 - Menard, Inc.

Inspection Information - Office: Madison Area Office

Inspection Nr: 1578743.015

Report ID: 0523300

Date Opened: 02/16/2022

Site Address:
Menard, Inc.
6401 Copps Avenue
Monona, WI 53716

Mailing Address:
6401 Copps Avenue, Monona, WI 53716

Union Status: NonUnion

SIC:

NAICS: 444110/Home Centers

Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 02/16/2022

Emphasis: L:Fall

Case Closed: 04/06/2022

Related Activity
Type	Activity Nr	Safety	Health
Accident	1867399

Case Status: CLOSED

Investigation Summary

Investigation Nr: 143813.015

Event: 02/15/2022

Employee dies in fall from ladder

On January 8, 2022, Employee #1, a stocker, was positioning stock (product, plastic storage bins), while working from a rolling Cotterman ladder. Employee #1, stepped one foot off the ladder towards and onto the racking with the stock, and fell approximately 6-10 feet to the concrete floor below. Employee #1 was hospitalized with reported fractured ribs. Employee #1 died at 3:00 p.m. on February 15, 2022. The Medical Examiner reported death due to blunt force trauma to the ribs (2-9) and humerus. The Medical Examiner reported the death was an accident caused from an 8 foot fall from a rolling staircase.

Keywords: Concrete, Fall, Fall From Elevation, Fracture, Ladder, Rib, Stocking

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1578743.015	68	M	Fatality		Laborers, except construction

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