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Inspection Detail
Inspection: 313136947 - Slack'S Inc.
Inspection Information - Office: Madison Area Office
Site Address:
Slack'S Inc.
W12153 Slack Road
Lodi, WI 53555
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:2033
NAICS: 311421/Fruit and Vegetable Canning
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 04/13/2011
Emphasis: S:Fall From Height
Case Closed: 05/23/2012
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 100802156 | ||
| Referral | 200806669 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | 2 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $4,200 | $0 | $0 | $3,000 | $0 | $7,200 |
| Current Penalty | $4,200 | $0 | $0 | $0 | $0 | $4,200 |
| 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 | 19100023 A03 I | 05/05/2011 | 06/30/2011 | $4,200 | $4,200 | $0 | I - Informal Settlement | ||
| 2. | 02001 | Other | 19040039 A | 05/05/2011 | 05/10/2011 | $0 | $3,000 | $0 | I - Informal Settlement |
Investigation Summary
At approximately 9:30 a.m. on January 11, 2011, Employee #1 was relocating equipment and antique furniture from a second floor barn in preparation for renovation activities. It was planned that the items would first be moved from the second floor to the first floor of the barn scheduled for renovation, and then moved to another barn on the property for storage. An opening that measured 72 inches by 91 inches with a hinged door was the intended access point for lowering the items from the second floor to the first floor. Employee #1 positioned a forklift with a pallet, measuring 48 inches by 40 inches, on it in the hinged door for loading. This left an approximate 20- to 25-inches of unguarded floor opening on either side of the pallet. As Employee #1 and a coworker were lifting a piece of antique furniture onto the pallet, Employee #1 fell about 13 feet through the unguarded floor opening and died. The accident investigation determined that neither Employee #1 nor his coworker were wearing fall protection. Additionally, the cause of death was attributed to a massive head injury received in the fall.
Keywords: HEAD, STRUCK AGAINST, MANUAL MAT HANDLING, FALL, FALL PROTECTION, UNGUARDED, INATTENTION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 313136947 | Fatality | Other | Laborers, except construction |