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Inspection Detail
Inspection: 109606145 - Sam'S Club Division Of Wal-Mart Stores Inc.
Inspection Information - Office: Tampa Area Office
Site Address:
Sam'S Club Division Of Wal-Mart Stores Inc.
8005 15th Street E.
Sarasota, FL 34243
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:5399
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 02/15/1994
Emphasis:
Case Closed: 08/16/1994
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 360148944 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $5,000 | $0 | $0 | $5,000 |
| Current Penalty | $0 | $0 | $0 | $3,500 | $0 | $3,500 |
| 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 | Other | 19040002 A | 02/23/1994 | 03/07/1994 | $3,500 | $5,000 | $0 | 03/08/1994 | F - Formal Settlement |
Investigation Summary
Employee #1 was operating a standup Rider forklift, which was her normal job assignment. Employee #1 said that the forklift jerked forward, pinning her between the forklift and some stationary metal shelving. There were no witnesses. Other employees heard Employee #1 yell for help. Employee #1 complained of abdomen and upper leg injuries and 911 was called to assist and to transport her to the hospital. The injuries were not considered to be life-threatening at the time of the hospital transport, but Employee #1 died five days later of blunt trauma of perforated sigmoid colon, peritonitis, and probable sepsis.
Keywords: ABDOMEN, CAUGHT BETWEEN, INDUSTRIAL TRUCK, LEG
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 109606145 | Fatality | Poisoning(Systemic) | Occupation not reported |