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Violation Detail
Standard Cited: 19040029 B01 Forms.
Inspection Nr: 1868570.015
Citation: 02001B
Citation Type: Other
Abatement Status: Quick Fix
Initial Penalty: $0.00
Current Penalty: $0.00
Issuance Date: 01/16/2026
Nr Instances: 2
Nr Exposed: 123
Abatement Date:
Gravity:
Report ID: 0521100
Contest Date:
Final Order: 01/30/2026
Related Event Code (REC):
Emphasis:
| Type | Latest Event | Event Date | Penalty | Abatement Due Date | Citation Type | Failure to Abate Inspection |
|---|---|---|---|---|---|---|
| Penalty | I: Informal Settlement | 01/30/2026 | $0.00 | Other | ||
| Penalty | Z: Issued | 01/16/2026 | $0.00 | Other |
Text For Citation: 02 Item/Group: 001B Hazard:
29 CFR 1904.29(b)(1): The employer did not provide the required injury or illness descriptions on the Log of Work-Related Injuries and Illnesses, OSHA Form 300. a) On or about January 13, 2026, at an establishment located at 200 Summer Street in Clintonville, Wisconsin; the employer did not provide the Section (F) required injury description for a work-related hospitalization. On December 30, 2025, an employee was hospitalized for a punctured lung, broken ribs, and fractured pelvis following a work-related incident on the same day. b) On or about January 13, 2026, at an establishment located at 200 Summer Street in Clintonville, Wisconsin; the employer did not provide the Section (F) required injury description for a work-related beyond first aid event. On December 30, 2025, an employee was concussed and provided stitches for a laceration on their head following a work-related incident on the same day.