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Inspection Detail
Inspection: 309841856 - Custom Pallet And Crate
Inspection Information - Office: Appleton Area Office
Inspection Nr: 309841856
Report ID: 0521100
Date Opened: 04/25/2008
Site Address:
Custom Pallet And Crate
6159 Hwy 32 North
Gillett, WI 54124
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:2448
NAICS: 321920/Wood Container and Pallet Manufacturing
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 04/25/2008
Emphasis: N:Amputate, S:Amputations
Case Closed: 01/27/2009
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 100651090 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 1 | 3 | |||
| Current Violations | 2 | 1 | 3 | |||
| Initial Penalty | $1,500 | $0 | $0 | $1,500 | $0 | $3,000 |
| Current Penalty | $1,100 | $0 | $0 | $0 | $0 | $1,100 |
| 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 | Serious | 19100147 C01 | 10/16/2008 | 11/02/2008 | $600 | $750 | $0 | I - Informal Settlement | ||
| 2. | 01002 | Serious | 19100213 B07 | 10/16/2008 | 10/26/2008 | $500 | $750 | $0 | I - Informal Settlement | ||
| 3. | 02001 | Other | 19040039 A | 10/16/2008 | 10/21/2008 | $0 | $1,500 | $0 | I - Informal Settlement |
Investigation Summary
Investigation Nr: 200651453
Event: 03/20/2008
Employee Loses Consciousness at Work and Dies on Same Day
On March 20, 2008, Employee #1 was working when he lost consciousness and died. A medical examination revealed that the cause of death was due to an aortic rupture. No other details were provided in the narrative.
Keywords: CARDIOVASC SYSTEM, UNCONSCIOUSNESS, CARDIOVASC DISEASE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 309841856 | Occupation not reported |