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Violation Detail
Standard Cited: 19040029 A Forms.
This violation item has been deleted.
Inspection Nr: 1803983.015
Citation: 01001
Citation Type: Other
Abatement Status: Abatement Completed
Initial Penalty: $1,596.00
Current Penalty: $0.00
Issuance Date: 06/13/2025
Nr Instances: 1
Nr Exposed: 1
Abatement Date: 07/08/2025
Gravity:
Report ID: 0523900
Contest Date: 07/14/2025
Final Order: 03/02/2026
Related Event Code (REC):
Emphasis:
| Type | Latest Event | Event Date | Penalty | Abatement Due Date | Citation Type | Failure to Abate Inspection |
|---|---|---|---|---|---|---|
| Penalty | F: Formal Settlement | 03/02/2026 | $0.00 | 07/08/2025 | Other | |
| Penalty | C: Contested | 07/14/2025 | $1,596.00 | 07/08/2025 | Other | |
| Penalty | Z: Issued | 06/13/2025 | $1,596.00 | 07/08/2025 | Other |
Text For Citation: 01 Item/Group: 001 Hazard:
29 CFR 1904.29(a): The employer did not use an OSHA 300, 301 and 300A Form or equivalent: The Boldt Company- 2525 N Roemer Road, Appleton, WI. On or about February 12, 2025, the OSHA Form 300 utilized by the employer to document work-related injuries and/or illnesses did not include column B information to identify the employee's name on the OSHA Form 300 or equivalent for calendar year 2025. (a) On or about January 16, 2025, the name of an injured masonry employee (case No. 1) was not recorded on the employers calendar year 2025 OSHA Form 300 because the form was modified by removing column B.