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### Inspection Detail

**Case Status: CLOSED**

#### **Inspection: 1215316.015 - Lakeside International, Llc**

**Inspection Information - Office: Naperville**

 

**Inspection Nr**

**Report ID**

**Date Opened**

----

**Site Address**: 			   Lakeside International, Llc			   5190 28 Th AveRockford, IL 61109

**Mailing Address**: 			   11000 W Silver Spring Rd P.O. Box 250827, Milwaukee, WI 53225

**Union Status**: NonUnion

**SIC**:

**NAICS**: 441229/All Other Motor Vehicle Dealers

----

**Inspection Type**: Fat/Cat

**Scope**: Partial

**Advanced Notice**: N

**Ownership**: Private

**Safety/Health**: Safety

**Close Conference**: 03/06/2017

**Emphasis**:

**Case Closed**: 03/16/2017

----

**Case Status: CLOSED**

#### **Investigation Summary**

**Investigation Nr**

**Event**

At 3:00 p.m. on February 27, 2017, Employee #1 arrived at the jobsite to introduce his coworker, who was taking over the job, since he was scheduled to retire the next day. As the two employees ascended the fixed cement stairs located on the exterior of the building, Employee #1 fell backwards down the stairs. The employee was transported to the hospital and it was determined that he had sustained a broken shoulder, elbow, and hand.  At approximately 5:00 p.m. on March 3, 2017, Employee #1 died due to heart complications.

**Keywords:**arm, concrete, elbow, fall, fracture, hand, heart, shoulder, stair, struck against
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