Inspection Detail
Inspection: 111895405 - Costco
Inspection Information - Office: American Canyon District Office
Site Address:
Costco
198 Plaza Drive
Vallejo, CA 94590
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: 02/26/1992
Emphasis:
Case Closed: 05/18/1992
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 361318744 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $300 | $0 | $0 | $0 | $0 | $300 |
| Current Penalty | $300 | $0 | $0 | $0 | $0 | $300 |
| 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 | 3203 A07 C | 04/13/1992 | 04/27/1992 | $300 | $300 | $0 | - |
Investigation Summary
At approximately 5:30 p.m. on November 21, 1991, Employee #1 was changing tires. He had removed the old tire, placed the new tire on the rim, lubed the tire bead, and sealed the bead. Employee #1 then installed the valve core and began to inflate the tire. He had inflated the tire approximately 40 psi when the tire exploded. Employee #1 sustained a broken right arm, a bruised right eye, and several lacerations. He was attempting to put a smaller tire on a large rim.
Keywords: EYE, AIR PRESSURE, FRACTURE, WORK RULES, EXPLOSION, LACERATION, INFLATING, STRUCK BY, ARM, TIRE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 111895405 | Non Hospitalized injury | Fracture | Automobile mechanics |
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