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Inspection Detail

Inspection: 308566694 - Mac'S Convenience Stores Llc D/B/A Circle K

Inspection Information - Office: Peoria Area Office

 

Inspection Nr: 308566694
Report ID: 0524500
Date Opened: 05/05/2005

Site Address:
Mac'S Convenience Stores Llc D/B/A Circle K
2312 N. Knoxville Ave. (Store #132)
Peoria, IL 61604

Mailing Address:
315 The Commons, Columbus, IN 47201

Union Status: NonUnion

SIC:5411

NAICS: 447110/Gasoline Stations with Convenience Stores


Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 11/04/2005

Emphasis:

Case Closed: 03/20/2006


Related Activity
Type Activity Nr Safety Health
Accident 100272319
Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 4 1 5
Current Violations 4 1 5
Initial Penalty $7,200 $0 $0 $1,500 $0 $8,700
Current Penalty $4,000 $0 $0 $1,500 $0 $5,500
FTA Penalty $0 $0 $0 $0 $0 $0

Violation Items
# Citation ID Citation Type Standard Cited Issuance Date Abatement Due Date Current Penalty Initial Penalty FTA Penalty Contest Latest Event Note
1. 01001A Serious 19100036 D01 11/04/2005 12/31/2005 $1,000 $1,800 $0 I - Informal Settlement  
2. 01001B Serious 19100037 A03 11/04/2005 12/30/2005 $0 $0 $0 I - Informal Settlement  
3. 01002A Serious 19100110 F02 I 11/04/2005 11/09/2005 $1,000 $1,800 $0 I - Informal Settlement  
4. 01002B Serious 19100303 G02 II 11/04/2005 12/31/2005 $0 $0 $0 I - Informal Settlement  
5. 01003 Serious 19100303 G02 I 11/04/2005 11/09/2005 $1,000 $1,800 $0 I - Informal Settlement  
6. 01004A Serious 19100305 G01 IIIA 11/04/2005 11/09/2005 $1,000 $1,800 $0 I - Informal Settlement  
7. 01004B Serious 19100305 G01 IIIB 11/04/2005 11/09/2005 $0 $0 $0 I - Informal Settlement  
8. 02001 Other 19040039 A 11/04/2005 11/09/2005 $1,500 $1,500 $0 -  

Investigation Summary

Investigation Nr: 200271377
Event: 05/04/2005
Employee Dies after Being Shot by Robber

At approximately 6:00 a.m. on May 4, 2005, Employee #1 was working at a convenience store when an armed individual entered and robbed the store. Employee #1 was injured when he was shot in chest. He was pronounced dead at the hospital at 9:30 a.m.

Keywords: CHEST, GUNSHOT, WORKPLACE VIOLENCE

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 308566694 Fatality Other Occupation not reported
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