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Inspection Detail
Inspection: 1614914.015 - American Custom Metal Fabricating, Inc.
Inspection Information - Office: Appleton Area Office
Site Address:
American Custom Metal Fabricating, Inc.
2612 S. Broadway St.
Green Bay, WI 54303
Mailing Address:
2612 S. Broadway St., Green Bay, WI 54303
Union Status: NonUnion
SIC:
NAICS: 332312/Fabricated Structural Metal Manufacturing
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 08/16/2022
Emphasis: L:Piv
Case Closed: 03/16/2023
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1934642 | ||
| Referral | 1930826 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $6,340 | $0 | $0 | $0 | $0 | $6,340 |
| Current Penalty | $6,340 | $0 | $0 | $0 | $0 | $6,340 |
| 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 | 19100028 B11 II | 01/13/2023 | 03/13/2023 | $6,340 | $6,340 | $0 | Z - Issued | ||
| 2. | 01001B | Serious | 19100029 F01 I | 01/13/2023 | 03/13/2023 | $0 | $0 | $0 | Z - Issued |
Investigation Summary
At 12:00 noon on July 29, 2022, an employee was walking from his work area to the back parking area while on break when he stumbled, fell down the stairs, and struck his head on a hard surface. There were no witnesses of the fall incident. The stairway was made up of six risers, enclosed on both sides, 48 inches wide, and made of concrete, with one steel pipe handrail on the right side descending. Upon discovery, the employee was transported to the local hospital and died in the hospital 13 days later.
Keywords: Blunt force, Blunt force trauma, Fall, Fall From Elevation, Head, Stair, Struck Against, Walking Surface
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1614914.015 | 65 | M | Fatality | Machinists |