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### Inspection Detail

**Case Status: CLOSED**

#### **Inspection: 1560180.015 - Performance Pallet Corp.**

**Inspection Information - Office: Appleton**

 

**Inspection Nr**

**Report ID**

**Date Opened**

----

**Site Address**: 			   Performance Pallet Corp.			   112 N Mainline DrSeymour, WI 54165

**Mailing Address**: 			   112 N Mainline Dr, Seymour, WI 54165

**Union Status**: NonUnion

**SIC**:

**NAICS**: 321920/Wood Container and Pallet Manufacturing

----

**Inspection Type**: Fat/Cat

**Scope**: Partial

**Advanced Notice**: N

**Ownership**: Private

**Safety/Health**: Safety

**Close Conference**: 10/26/2021

**Emphasis**:L:Piv, L:Pallet

**Case Closed**: 07/15/2022

----

**Case Status: CLOSED**

#### **Investigation Summary**

**Investigation Nr**

**Event**

At 1:50 p.m. on October 25, 2021, an employee, a maintenance worker, was preparing a loading dock to install an airbag. A coworker, operating a wheel loader with fork attachment, lifted an outdoor loading dock plate and the employee braced the plate with a 4-inch wide, 4-inch deep, by 48-inch long wooden block. The wheel loader fork was removed, and the employee used hand tools, including a hoe and shovel, to remove dirt and debris from under the dock equipment. The employee was standing in front of the loading dock with the edge of the plate overhead when the dock plate fell and crushed him. The employee died due to crushing injuries to his head and neck.

**Keywords:**blunt force, blunt force trauma, brace, bracing, crushed, debris, dock, falling object, forks, hand tool, head, installing, loading dock, maintenance, neck, shovel, struck by, wheel loader
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