Inspection Detail
Inspection: 997507.015 - Menard, Inc.
Inspection Information - Office: Omaha Area Office
Site Address:
Menard, Inc.
4801 N 264th Street
Valley, NE 68064
Mailing Address:
5101 Menard Drive, Eau Claire, WI 54703
Union Status: NonUnion
SIC:
NAICS: 332311/Prefabricated Metal Building and Component Manufacturing
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/01/2014
Emphasis: L:Forklift
Case Closed: 09/29/2016
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 911674 | ||
| Complaint | 919917 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $6,300 | $0 | $0 | $0 | $0 | $6,300 |
| Current Penalty | $0 | $0 | $0 | $5,400 | $0 | $5,400 |
| 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 | 19100178 L03 II E | 03/02/2015 | 09/28/2016 | $5,400 | $6,300 | $0 | 03/20/2015 | F - Formal Settlement |
Investigation Summary
At 9:00 p.m. on September 29, 2014, an employee was operating a Raymond Forklift (model number: EASI-4D-R45TT, serial number: EF-A-02-25915) in a warehouse. After placing a wooden truss in Aisle 4 and traveling north in the facility, he became unconscious and hunched over the controls. The forklift continued to move forward, striking a storage rack. The employee was pinned between the controls of the forklift and the vertical member of the rack. Emergency services were contacted and, upon arrival, the employee was determined to be dead. An autopsy later determined that the employee had a health issue that caused him to become unconscious.
Keywords: Crushing, Equipment Operator, Material Handling, Powered Industrial Vehicle, Unconsciousness
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 997507.015 | 54 | M | Fatality | Equipment Operator: Heavy |
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