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Inspection Detail
Inspection: 307946327 - Courtesy Corporation - Mcdonalds
Inspection Information - Office: Minnesota Department Of Labor And Industry
Inspection Nr: 307946327
Report ID: 0552700
Date Opened: 01/18/2005
Site Address:
Courtesy Corporation - Mcdonalds
955 High Point Dr Ne
Byron, MN 55920
Mailing Address:
2700 National Dr Suite 100, Onalaska, WI 54650
Union Status: NonUnion
SIC:5812
NAICS: 722211/Limited-Service Restaurants
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 02/01/2005
Emphasis:
Case Closed: 05/04/2005
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 100510486 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $3,150 | $0 | $0 | $0 | $0 | $3,150 |
| Current Penalty | $3,150 | $0 | $0 | $0 | $0 | $3,150 |
| 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 | Serious | 182065302 | 04/19/2005 | 04/29/2005 | $1,050 | $1,050 | $0 | - | ||
| 2. | 01002A | Serious | 19100026 C03 III | 04/19/2005 | 04/22/2005 | $2,100 | $2,100 | $0 | - | ||
| 3. | 01002B | Serious | 19100026 C03 IV | 04/19/2005 | 04/22/2005 | $0 | $0 | $0 | - |
Investigation Summary
Investigation Nr: 200513653
Event: 01/13/2005
Employee Is Killed in Fall from Ladder
On January 13, 2005, Employee #1, of Courtesy Corporation McDonald's, fell from a ladder while replacing letters on the sign in front of the store. He was killed.
Keywords: HEAD, LADDER, FALL
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 307946327 | Fatality | Concussion | Janitors and cleaners |