Inspection Detail

Inspection: 122017957 - Davies Water Equipment Co

Inspection Information - Office: Appleton Area Office

Inspection Nr: 122017957

Report ID: 0521100

Date Opened: 05/16/2007

Site Address:
Davies Water Equipment Co
5350 N. Richmond St.
Appleton, WI 54913

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:5074

NAICS: 423720/Plumbing and Heating Equipment and Supplies (Hydronics) Merchant Wholesalers

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 05/21/2007

Emphasis: L:Piv, S:Powered Ind Vehicle

Case Closed: 06/21/2007

Related Activity
Type	Activity Nr	Safety	Health
Referral	200651669	Yes

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations	1			1		2
Initial Penalty	$4,500	$0	$0	$0	$0	$4,500
Current Penalty	$4,500	$0	$0	$0	$0	$4,500
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	Contest	Latest Event	Note
1.	01001	Serious	19100178 O01	05/24/2007	06/10/2007	$4,500	$4,500	$0		-
2.	02001	Other	19100178 L04 III	05/24/2007	06/10/2007	$0	$0	$0		-

Investigation Summary

Investigation Nr: 200651271

Event: 05/16/2007

Employee Is Injured When Struck by Falling Pipe

At approximately 7:45 a.m. on May 16, 2007, Employee #1, a truck driver, was working with a coworker, a fork lift operator, loading six 6-inch ductile pipes, which were not secured, onto the back of a flatbed truck parked in the yard. The coworker was heading the forklift toward the truck from the side to unload the pipes. As the coworker got closer to the truck with the forks up, Employee #1 grabbed a strap from the strap box, and ran between the lift and the truck. The coworker thought that he would hit Employee #1 and applied the brakes, causing the front pipe to roll off of the tines and hit Employee #1 in the head. His head was pinned against the side of the truck bed, resulting in severe head injuries. He was hospitalized for his injury.

Keywords: FRACTURE, HEAD, INDUSTRIAL TRUCK, MECH MAT HANDLING, PIPE, STRUCK BY, FALLING OBJECT, FLATBED TRUCK, TRUCK DRIVER

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	122017957			Hospitalized injury	Fracture	Occupation not reported

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