Inspection Detail

Case Status: CLOSED

Inspection: 1400149.015 - Core-Mark Midcontinent Inc

Inspection Information - Office: Iowa 0751910

Inspection Nr: 1400149.015

Report ID: 0751910

Date Opened: 05/10/2019

Site Address:
Core-Mark Midcontinent Inc
1751 Us Hwy 30 East
Carroll, IA 51401

Mailing Address:
1751 Us Hwy 30 East Po Box 368, Carroll, IA 51401

Union Status: NonUnion

SIC:

NAICS: 424410/General Line Grocery Merchant Wholesalers

Inspection Type: Referral

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 05/10/2019

Emphasis:

Case Closed: 07/08/2019

Related Activity
Type	Activity Nr	Safety	Health
Referral	1453226	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations	1					1
Initial Penalty	$9,239	$0	$0	$0	$0	$9,239
Current Penalty	$9,239	$0	$0	$0	$0	$9,239
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Latest Event
1.	01001A	Serious	19100178 N04	06/03/2019	06/27/2019	$9,239	$9,239	$0	Z - Issued
2.	01001B	Serious	19100178 N06	06/03/2019	06/27/2019	$0	$0	$0	Z - Issued
3.	01001C	Serious	19100178 N08	06/03/2019	06/27/2019	$0	$0	$0	Z - Issued

Investigation Summary

Investigation Nr: 116169.015

Event: 05/08/2019

Employee is struck by PIV, sustains back and head injuries

At 8:23 a.m. on May 8, 2019, an employee was walking in a pedestrian walkway to the break room. The employee was struck by a Crown 3500 Series stand-up fork lift truck and sustained back and head injuries, requiring hospitalization.

Keywords: Back, Distracted driving, Driver, Forklift, Fracture, Head, Horn, Industrial Truck, Material Handling, Motor Vehicle, Powered Industrial Vehicle, Speeding, Struck By, Vehicle, Walking Surface

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1400149.015	39	F	Hospitalized injury

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