TranslateInspection Detail
Case Status: CLOSED |
Inspection Information - Office: Eau Clair | ||||
|---|---|---|---|---|
| Nr: 1478295.015 | Report ID: 0523900 | Open Date: 06/11/2020 | ||
| Erickson'S Diversified Corporation | ||||
| 17158 County Hwy Jnull Chippewa Falls, WI 54729 | Union Status: NonUnion | |||
| SIC: | ||||
| NAICS: 445110/Supermarkets and Other Grocery (except Convenience) Stores | ||||
| Mailing: 850 76th Street Swp.O. Box 8700, Grand Rapids, MI 49518 | ||||
| Inspection Type: | Fat/Cat | |||
| Scope: | Partial | Advanced Notice: | N | |
| Ownership: | Private | |||
| Safety/Health: | Safety | Close Conference: | 06/16/2020 | |
| Close Case: | 06/09/2021 | |||
| Related Activity: | Type | ID | Safety | Health |
| Referral | 1599490 | Yes | ||
| Accident | 1603576 | |||
Case Status: CLOSED |
Violation Summary | ||||||
|---|---|---|---|---|---|---|
| Serious | Willful | Repeat | Other | Unclass | Total | |
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $6,747 | $0 | $6,747 |
| Current Penalty | $0 | $0 | $0 | $5,400 | $0 | $5,400 |
| FTA Amount | $0 | $0 | $0 | $0 | $0 | $0 |
| Violation Items | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| # | ID | Type | Standard | Issuance | Abate | Curr$ | Init$ | Fta$ | Contest | LastEvent | |
| 1. | 01001 | Other | 19040039 A02 | 09/03/2020 | 09/14/2020 | $5,400 | $6,747 | $0 | I - Informal Settlement | ||
Accident Investigation Summary | ||||||
| Summary Nr: 126869.015 | Event: 06/09/2020 | Employee Falls At Same Level, Sustains Broken Hip, Later Die | ||||
| At 12:00 p.m. on May 25, 2020, Employee # 1 was unloading produce from a pallet in the produce cooler. Once he was finished, he went to stack the empty pallet o nto the others, lost his balance, and fell to the floor. He was in the process o f moving a pallet by hand when he fell at the same level. According to the emplo yer, Employee # 1 stated his leg gave out. Employee # 1 was hospitalized for his injuries, and sustained a fractured hip. Employee # 1 was hospitalized from May 25, 2020 to May 26, 2020, during which time he had surgery for a fractured hip. On June 9, 2020, Employee # 1 died at home due to surgery complications includi ng cellulitis and underlying medical conditions. | ||||||
| Keywords: fall, fracture, hip, lost balance, off loading, pallet | ||||||
| Inspection | Degree | Nature | Occupation | |||
|---|---|---|---|---|---|---|
| 1 | 1478295.015 | Fatality | ||||