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Inspection Detail
Inspection: 1219676.015 - Tractor Supply Company
Inspection Information - Office: Jackson Area Office
Site Address:
Tractor Supply Company
2320 Hwy 43 South
Picayune, MS 39466
Mailing Address:
5401 Virginia Way, ,
Union Status: NonUnion
SIC:
NAICS: 444130/Hardware Stores
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 03/23/2017
Emphasis: L:Forklift
Case Closed: 10/02/2017
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1193993 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 4 | 1 | 5 | |||
| Current Violations | 1 | 2 | 3 | |||
| Initial Penalty | $50,700 | $126,749 | $0 | $0 | $0 | $177,449 |
| Current Penalty | $0 | $0 | $73,700 | $6,300 | $0 | $80,000 |
| 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. | 01002 | Serious | 19100178 L04 II A | 07/19/2017 | 07/21/2017 | $0 | $12,675 | $0 | I - Informal Settlement | Citation has been deleted. | |
| 2. | 01003 | Other | 19100178 N04 | 07/19/2017 | 07/27/2017 | $3,800 | $12,675 | $0 | I - Informal Settlement | ||
| 3. | 01004 | Other | 19100178 N15 | 07/19/2017 | 07/21/2017 | $2,500 | $12,675 | $0 | I - Informal Settlement | ||
| 4. | 02001A | Repeat | 19100178 M03 | 07/19/2017 | 07/21/2017 | $73,700 | $126,749 | $0 | I - Informal Settlement | ||
| 5. | 02001B | Repeat | 5A0001 | 07/19/2017 | 07/21/2017 | $0 | $12,675 | $0 | I - Informal Settlement |
Investigation Summary
At 3:30 p.m. on March 21, 2017, Employee #1 and a forklift operator were loading material onto a customers truck. The employee was riding back on the side of the Toyota forklift and jumped off to open the gate for the service man. When Employee #1 jumped off of the forklift, the forklift operator turned left, running over the employee's foot, fracturing his right ankle. Employee #1 was hospitalized for his injuries.
Keywords: Ankle, Fracture, Jump On Moving Equip, Powered Industrial Vehicle, Run Over, Struck By
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1219676.015 | 24 | M | Hospitalized injury | Stock handlers and baggers |