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Inspection Detail
Inspection: 1417460.015 - Costco Wholesale Corporation #658
Inspection Information - Office: Modesto District Office
Site Address:
Costco Wholesale Corporation #658
3250 West Grant Line Road
Tracy, CA 95304
Mailing Address:
3250 West Grant Line Road, Tracy, CA 95304
Union Status: NonUnion
SIC:
NAICS: 453998/All Other Miscellaneous Store Retailers (except Tobacco Stores)
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/08/2019
Emphasis:
Case Closed: 03/03/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1475380 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | ||||||
| Initial Penalty | $0 | $0 | $0 | $635 | $0 | $635 |
| 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 | 3203(A)(4) | 11/19/2019 | $0 | $635 | $0 | 12/20/2019 | L - State Settlement | Citation has been deleted. |
Investigation Summary
At 12:30 p.m. on July 11, 2019, an employee was using a water hose to add water to bakery mixture in a Hobart Model HL1400N Industrial Mixer when the hose became caught in the rotating parts. The employee pinched his right index finger causing a partial amputation and required medical treatment without hospitalization.
Keywords: Amputated, Amputation, Caught By, Finger, Food processing, Hose, Injury Illness Prevention Program, Mixer, Partial Amputation, Pinched, Rotating Parts, Water, Water Hose
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1417460.015 | 35 | M | Non Hospitalized injury | Bakers |