Inspection Detail
Inspection: 103490561 - Super Valu Stores Inc., J. M. Jones Division
Inspection Information - Office: Peoria Area Office
Site Address:
Super Valu Stores Inc., J. M. Jones Division
3001 Veterans Parkway
Springfield, IL 62704
Mailing Address:
P. O. Box 9008, Champaign, IL 61826
Union Status: NonUnion
SIC:5141
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 06/11/1992
Emphasis:
Case Closed: 06/13/1993
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 360403075 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $3,250 | $0 | $0 | $0 | $0 | $3,250 |
| Current Penalty | $2,900 | $0 | $0 | $0 | $0 | $2,900 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Serious | 19100028 A01 | 06/23/1992 | 06/27/1992 | $2,900 | $3,250 | $0 | 07/20/1992 | F - Formal Settlement |
Investigation Summary
Employee #1 was climbing the grocery storage shelves in the grocery storage room of Cubs Foods, Springfield, IL, when he fell approximately 12 ft to a concrete floor, sustaining fatal head injuries.
Keywords: HEAD, WORK RULES, FALL, STORAGE RACK
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 103490561 | Fatality | Concussion | Occupation not reported |
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