Inspection Detail

Inspection: 310768908 - Cardinal Ig Company

Inspection Information - Office: Madison Area Office

Inspection Nr: 310768908

Report ID: 0523300

Date Opened: 12/15/2008

Site Address:
Cardinal Ig Company
1011 E. Madison Street
Spring Green, WI 53588

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:3231

NAICS: 327215/Glass Product Manufacturing Made of Purchased Glass

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 12/15/2008

Emphasis: L:Piv

Case Closed: 12/15/2008

Related Activity
Type	Activity Nr	Safety	Health
Accident	100801760

Investigation Summary

Investigation Nr: 200802098

Event: 12/13/2008

Employee Falls Striking Head, Later Dies

At approximately 7:00 a.m. on December 12, 2008, Employee #1 was attempting to tie his shoe with one leg up on a table. He fell backwards into a refrigerator striking the back of his head. He worked through his shift and clocked out at approximately 2:00 p.m. that day for regularly scheduled leave. Later that evening, Employee #1 reported a headache to his wife. He was taken to a hospital and died on December 13, 2008. %09

Keywords: HEAD, STRUCK AGAINST, FALL, CONCUSSION

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	310768908			Fatality	Concussion	Occupation not reported

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