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Inspection Detail
Inspection: 1721081.015 - 107076 - Polk County - Administration
Inspection Information - Office: Minnesota Department Of Labor And Industry
Site Address:
107076 - Polk County - Administration
612 North Broadway
Crookston, MN 56716
Mailing Address:
612 North Broadway, Crookston, MN 56716
Union Status: Union
SIC:
NAICS: 921110/Executive Offices
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 02/16/2024
Emphasis:
Case Closed: 02/22/2024
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 2116052 |
Investigation Summary
At 9:00 a.m. on December 19, 2023, an employee was walking to a bathroom on the third floor of a country administration building when he collapsed near the entrance of the men's restroom. The employee hit his head on the rear wheel of a custodial cart as he fell to the floor. Several coworkers responded and called 911. The employee was taken to the local hospital, where he died on December 29, 2023.
Keywords: Blunt force, Blunt force trauma, Cart, Fall, Fall On Same Level, Head, Loss of consciousness, Lost consciousness, Struck Against, Wheel
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1721081.015 | 59 | M | Fatality | Occupation not reported |