Translate
Inspection Detail
Inspection: 104542022 - Hyvee Food Stores, Inc.
Inspection Information - Office: Minnesota Department Of Labor And Industry
Site Address:
Hyvee Food Stores, Inc.
1607 E. Hwy. 14
Rochester, MN 55904
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:5411
NAICS: 0
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/08/1986
Emphasis:
Case Closed: 08/30/1988
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 360761142 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 7 | 9 | |||
| Current Violations | 2 | 6 | 8 | |||
| Initial Penalty | $434 | $0 | $0 | $0 | $0 | $434 |
| Current Penalty | $434 | $0 | $0 | $0 | $0 | $434 |
| 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 | 52050040 | 10/29/1986 | 11/01/1986 | $280 | $280 | $0 | - | ||
| 2. | 01002 | Serious | 19100178 M12 | 10/29/1986 | 11/01/1986 | $154 | $154 | $0 | - | ||
| 3. | 02001 | Other | 19100303 G 1 II | 10/29/1986 | 11/10/1986 | $0 | $0 | $0 | - | ||
| 4. | 02002 | Other | 19100303 G 2 I | 10/29/1986 | 12/01/1986 | $0 | $0 | $0 | - | ||
| 5. | 02003 | Other | 19100305 G 2 III | 10/29/1986 | 12/01/1986 | $0 | $0 | $0 | - | ||
| 6. | 02004 | Other | 19100037 Q 1 | 10/29/1986 | 12/01/1986 | $0 | $0 | $0 | - | ||
| 7. | 02005 | Other | 19100304 F 4 | 10/29/1986 | 12/01/1986 | $0 | $0 | $0 | - | ||
| 8. | 02006 | Other | 19100304 F 5 V | 10/29/1986 | 12/01/1986 | $0 | $0 | $221 | I - Informal Settlement | Citation has been deleted. | |
| 9. | 02007 | Other | 5210063001 | 10/29/1986 | 11/17/1986 | $0 | $0 | $0 | - |
Investigation Summary
EMPLOYEE #1 WAS INSTRUCTED BY HIS SHIFT MANAGER TO CONSOLIDATE PRODUCTS ON THE PALLETS IN THE REAR STORE ROOM. THE SHIFT SUPERVISOR ELEVATED EMPLOYEE #1, THE ASSISTANT SHIFT SUPERVISOR, TEN FEET UP ON THE FORKS OF A CLARK FORK LIFT. EMPLOYEE #1 WAS MOVING PRODUCTS AROUND ON THESE PALLETS WHEN HE FELL TO THE CONCRETE FLOOR. HIS HEAD STRUCK EITHER THE FORK OF THE FORKLIFT OR THE CONCRETE FLOOR. HE WAS KNOCKED UNCONSCIOUS. THE SHIFT SUPERVISOR AND ANOTHER EMPLOYEE CAME TO HIS ASSISTANCE. HE REGAINED CONSCIOUSNESS AND WAS TRANSPORATED TO THE HOSPITAL. HE WAS OPERATED ON TO REMOVE A BLOOD CLOT FROM HIS BRAIN AND PLACED IN INTENSIVE CARE. NO LIFTING CAGE WAS USED ON THE FORKLIFT AND NO GUARDRAILS WERE PROVIDED ON THE METAL STORAGE BANKS. THE FORK LIFT LABEL CLEARLY INSTRUCTS THE OPERATOR TO "CARRY NO PASSENGERS, NEVER ELEVATE ANYONE WITHOUT A SECURED SAFETY PLATFORM". THE FORK LIFT WAS A CLARK, MODEL S30, TYPE E, SERIAL #S30-0052-4785FA. IT IS CALLED A CLARK POWERWORKER.
Keywords: HEAD, UNCONSCIOUSNESS, GUARDRAIL, UNSECURED, WORK RULES, INDUSTRIAL TRUCK, FALL, FALL PROTECTION, CONCUSSION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 104542022 | Hospitalized injury | Concussion | Management related occupations, n.e.c. |