Inspection Detail

Inspection: 312552870 - Times Printing Co Inc

Inspection Information - Office: Appleton Area Office

Inspection Nr: 312552870

Report ID: 0521100

Date Opened: 08/05/2009

Site Address:
Times Printing Co Inc
100 Industrial Drive
Random Lake, WI 53075

Mailing Address:
P. O. Box 325, Random Lake, WI 53075

Union Status: NonUnion

SIC:2752

NAICS: 323110/Commercial Lithographic Printing

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/08/2009

Emphasis: L:Piv, N:Amputate, S:Amputations, S:Powered Ind Vehicle

Case Closed: 10/28/2009

Related Activity
Type	Activity Nr	Safety	Health
Accident	100651397

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	3					3
Current Violations	3					3
Initial Penalty	$4,125	$0	$0	$0	$0	$4,125
Current Penalty	$2,888	$0	$0	$0	$0	$2,888
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Latest Event
1.	01001A	Serious	19100147 C05 I	10/07/2009	11/09/2009	$1,050	$1,500	$0	I - Informal Settlement
2.	01001B	Serious	19100147 C06 I	10/07/2009	11/09/2009	$0	$0	$0	-
3.	01002	Serious	19100242 B	10/07/2009	11/09/2009	$788	$1,125	$0	I - Informal Settlement
4.	01003	Serious	19101200 F05 I	10/07/2009	11/09/2009	$1,050	$1,500	$0	I - Informal Settlement

Investigation Summary

Investigation Nr: 200651602

Event: 07/27/2009

Employee Suffers Head Injury, Later Dies

On July 27, 2009, Employee #1 suffered a head injury and was later found disoriented in his work area. The cause of the head trauma is unknown. Employee #1 was transported to the hospital where he died on August 3, 2009.

Keywords: HEAD, CONCUSSION

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	312552870			Fatality	Concussion	Occupation not reported

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