Inspection Detail
Inspection: 1284028.015 - Sam'S East, Inc.
Inspection Information - Office: Cleveland Area Office
Site Address:
Sam'S East, Inc.
4790 Portage Street Nw
North Canton, OH 44720
Mailing Address:
2101 S.E. Simple Savings Dr, Bentonville, AR 72716
Union Status: NonUnion
SIC:
NAICS: 452910/Warehouse Clubs and Supercenters
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 12/19/2017
Emphasis: P:Piv, L:Piv
Case Closed: 03/07/2018
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1292592 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| 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 | 19100178 L04 I | 02/07/2018 | $0 | $0 | $0 | Z - Issued |
Investigation Summary
At 11:00 p.m. on December 12, 2017, an employee was working for a warehouse and supercenter. She was operating a Crown battery-powered standup-type forklift. The forklift she was operating and another forklift arrived at an intersection at the same time. The employee stuck her leg out as the two forklifts collided. She sustained a fracture in her left foot, or her leg and her left foot. She was hospitalized.
Keywords: Foot, Fracture, Ind Trk Operator, Industrial Truck, Leg, Struck Against, Warehouse
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1284028.015 | 50 | F | Hospitalized injury | Occupation Not Listed |
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