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Inspection Detail
Inspection: 1379202.015 - Circle K Stores Inc.
Inspection Information - Office: Appleton Area Office
Site Address:
Circle K Stores Inc.
2389 Pamperin Road
Green Bay, WI 54313
Mailing Address:
1100 Situs Court Suite 100, Raleigh, NC 27606
Union Status: NonUnion
SIC:
NAICS: 447110/Gasoline Stations with Convenience Stores
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 02/19/2019
Emphasis:
Case Closed: 06/06/2019
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1425608 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | ||||||
| Initial Penalty | $0 | $0 | $20,838 | $0 | $0 | $20,838 |
| 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 | Repeat | 19040039 A02 | 05/16/2019 | $0 | $20,838 | $0 | I - Informal Settlement | Citation has been deleted. |
Investigation Summary
At 3:30 a.m. on February 4, 2019, an employee was climbing into the passenger side of semi-truck when he slipped on the ice accumulation on side of the truck. The employee fell and fractured his ankle and sustained a severed tendon. The employee was hospitalized.
Keywords: Ankle, Fall, Fracture, Slippery Surface, Tendon, Truck
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1379202.015 | 56 | M | Hospitalized injury | Truck drivers, heavy |