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### Inspection Detail

**Case Status: CLOSED**

#### **Inspection: 1531496.015 - Kvh Hayward Inc.**

**Inspection Information - Office: Eau Clair**

 

**Inspection Nr**

**Report ID**

**Date Opened**

----

**Site Address**: 			   Kvh Hayward Inc.			   15574 Wisconsin 77Hayward, WI 54843

**Mailing Address**: 			   Po Box 1386, Hayward, WI 54843

**Union Status**: NonUnion

**SIC**:

**NAICS**: 442110/Furniture Stores

----

**Inspection Type**: Fat/Cat

**Scope**: Partial

**Advanced Notice**: N

**Ownership**: Private

**Safety/Health**: Safety

**Close Conference**: 05/25/2021

**Emphasis**:P:Fall, L:Fall, L:Piv

**Case Closed**: 07/12/2023

----

**Case Status: CLOSED**

#### **Investigation Summary**

**Investigation Nr**

**Event**

At approximately 3:58 a.m. on May 17, 2021, an employee was working from an extension ladder to install light fixture mounting brackets to interior roof trusses approximately 16 feet above the showroom floor.  The employee utilized a Werner brand 24-foot aluminum extension ladder.  The employee fell, presumably from the extension ladder to the tile floor.  The employee was transported to a local hospital to receive treatment for multiple blunt force injuries to the head and body.  The employee later died from these injuries.

**Keywords:**blunt force, extension ladder, fall, head, ladder, lighting, truss
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