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Inspection Detail
Case Status: CLOSED
Inspection: 1407360.015 - Circle K Stores, Inc.
Inspection Information - Office: Tampa Area Office
Inspection Nr: 1407360.015
Report ID: 0420600
Date Opened: 06/04/2019
Site Address:
Circle K Stores, Inc.
7916 Us Hwy 27 S
Sebring, FL 33876
Mailing Address:
3802 Corporex Drive, Tampa, FL 33619
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:
Emphasis:
Case Closed: 12/20/2019
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1445664 | Yes |
Case Status: CLOSED
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $18,944 | $0 | $0 | $18,944 |
| Current Penalty | $0 | $0 | $18,944 | $0 | $0 | $18,944 |
| 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 | 06/20/2019 | $18,944 | $18,944 | $0 | Z - Issued |
Investigation Summary
Investigation Nr: 117022.015
Event: 04/10/2019
Employee slips and falls, injures head, on wet floor
At approximately 9:00 a.m. on April 10, 2019, an employee was walking when the employee slipped and fell striking their head on the floor. The employee sustained traumatic intracranial hemorrhaging. The employee was hospitalized for these injuries.
Keywords: Fall, Head, Slip, Slippery Surface, Traumatic
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1407360.015 | 71 | M | Hospitalized injury | Food counter, fountain and related occupations |