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Inspection Detail
Inspection: 306111592 - Placon
Inspection Information - Office: Madison Area Office
Site Address:
Placon
4501 Helgesen Drive
Madison, WI 53716
Mailing Address:
6096 Mckee Road, Madison, WI 53719
Union Status: NonUnion
SIC:2657
NAICS: 322212/Folding Paperboard Box Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 06/17/2004
Emphasis:
Case Closed: 10/27/2004
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 100800911 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 1 | 3 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $3,375 | $0 | $0 | $0 | $0 | $3,375 |
| Current Penalty | $938 | $0 | $0 | $750 | $0 | $1,688 |
| 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. | 01001 | Other | 19100151 B | 09/15/2004 | 10/04/2004 | $750 | $1,500 | $0 | I - Informal Settlement | ||
| 2. | 01002A | Serious | 19100178 I01 | 09/15/2004 | 10/04/2004 | $938 | $1,875 | $0 | I - Informal Settlement | ||
| 3. | 01002B | Serious | 19101000 A02 | 09/15/2004 | 10/04/2004 | $0 | $0 | $0 | I - Informal Settlement | Citation has been deleted. | |
| 4. | 01002C | Serious | 19101000 E | 09/15/2004 | 11/17/2004 | $0 | $0 | $0 | I - Informal Settlement | Citation has been deleted. | |
| 5. | 02001 | Other | 19101200 H03 II | 09/15/2004 | 10/04/2004 | $0 | $0 | $0 | I - Informal Settlement | Citation has been deleted. |
Investigation Summary
On June 10, 2004, approximately seventy employees, spanning two work-shifts, were assembling cardboard purchase containers on a property that consisted of 65,000 sq-ft. A concentrated gas of carbon monoxide was released, due to a leak in two propane forklifts. Employees #1 and #2 reported experiencing exposure symptoms and were hospitalized and treated for carbon monoxide poisoning.
Keywords: LEAK, LUNG, WAREHOUSE, INHALATION, WORK STATION, INDUSTRIAL TRUCK, POISONING, CARBON MONOXIDE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 306111592 | Hospitalized injury | Poisoning(Systemic) | Supervisors, material moving equipment operators | ||
| 2 | 306111592 | Hospitalized injury | Poisoning(Systemic) | Laborers, except construction |