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Inspection Detail
Case Status: CLOSED
Inspection: 1241092.015 - Circle K Stores Inc.
Inspection Information - Office: Tampa Area Office
Inspection Nr: 1241092.015
Report ID: 0420600
Date Opened: 06/21/2017
Site Address:
Circle K Stores Inc.
2101 Sr 19
Tavares, FL 32778
Mailing Address:
1100 Situs Court Suite 100, Raleigh, NC 27616
Union Status: NonUnion
SIC:
NAICS: 445120/Convenience Stores
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 06/21/2017
Emphasis:
Case Closed: 12/14/2018
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1229858 | 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 | $9,054 | $0 | $9,054 |
| Current Penalty | $0 | $0 | $0 | $9,054 | $0 | $9,054 |
| 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 | 06/22/2017 | $9,054 | $9,054 | $0 | Z - Issued |
Investigation Summary
Investigation Nr: 96487.015
Event: 06/14/2017
Employee fractures ankle while sweeping outside store
At 8:30 a.m. on June 14, 2017, an employee was sweeping outside a store near gas pumps. The employee stepped off the concrete and into sand and loose concrete. The employee sustained fractures to both sides of the right ankle.
Keywords: Ankle, Fall, Fracture, Housekeeping, Walking Surface
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1241092.015 | 53 | M | Hospitalized injury | Managers, marketing, advertising, & public rela. |