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Inspection Detail
Inspection: 108828435 - Sam'S Club, Division Of Wal-Mart Stores, Inc.
Inspection Information - Office: Cleveland Area Office
Site Address:
Sam'S Club, Division Of Wal-Mart Stores, Inc.
23300 Broadway
Oakwood, OH 44146
Mailing Address:
10200 Brookpark Road, Brooklyn, OH 44130
Union Status: NonUnion
SIC:5311
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: Y
Ownership: Private
Safety/Health: Safety
Close Conference: 01/04/1993
Emphasis:
Case Closed: 09/15/1993
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361103617 | ||
| Complaint | 74910399 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $9,375 | $0 | $0 | $0 | $0 | $9,375 |
| Current Penalty | $3,375 | $0 | $0 | $0 | $0 | $3,375 |
| 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 | 19100178 L | 01/06/1993 | 01/11/1993 | $1,125 | $1,875 | $0 | 01/25/1993 | F - Formal Settlement | |
| 2. | 01002 | Serious | 19100212 A03 II | 01/06/1993 | 03/10/1993 | $0 | $3,750 | $0 | 01/25/1993 | F - Formal Settlement | Citation has been deleted. |
| 3. | 01003 | Serious | 19100334 A05 II | 01/06/1993 | 01/16/1993 | $2,250 | $3,750 | $0 | 01/25/1993 | F - Formal Settlement |
Investigation Summary
Employee #1 was operating a lift truck in a warehouse receiving dock. He backed up, leaving the truck's rear wheels resting on a dock plate. A tractor/trailer driver who was cleared to leave the dock pulled away, causing a section of the plate and the lift truck to fall. The fallen truck pinned Employee #1 against the ground and killed him.
Keywords: IND TRK OPERATOR, WAREHOUSE, PINNED, INDUSTRIAL TRUCK, TRUCK, FALLING OBJECT
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 108828435 | Fatality | Fracture | Occupation not reported | ||
| 2 | 108828435 | Hospitalized injury | Fracture | Occupation not reported |