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Inspection Detail
Case Status: CLOSED
Inspection: 1238864.015 - Circle K Stores, Inc.
Inspection Information - Office: Tampa Area Office
Inspection Nr: 1238864.015
Report ID: 0420600
Date Opened: 06/08/2017
Site Address:
Circle K Stores, Inc.
5600 Cypress Gardens Blvd.
Winter Haven, FL 33884
Mailing Address:
1100 Situs Ct. Suite 100, Raleigh, NC 27606
Union Status: NonUnion
SIC:
NAICS: 453998/All Other Miscellaneous Store Retailers (except Tobacco Stores)
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 06/12/2017
Emphasis:
Case Closed: 04/26/2024
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1223134 | Yes |
Case Status: CLOSED
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $9,053 | $0 | $9,053 |
| Current Penalty | $0 | $0 | $0 | $9,053 | $0 | $9,053 |
| 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 | 19040039 A02 | 06/29/2017 | $9,053 | $9,053 | $0 | Z - Issued |
Investigation Summary
Investigation Nr: 96241.015
Event: 06/14/2017
Employee falls from ladder and hits head on shelf
At 3:56 p.m. on June 14, 2017, an employee was using a 2 step stool to get tobacco. The employee lost his balance and fell. The employee hit his head on the way down breaking a shelf and received contusions to the head.
Keywords: Fall, Head, Ladder
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1238864.015 | 72 | M | Hospitalized injury |