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Inspection Detail
Case Status: CLOSED
Inspection: 1429571.015 - Walmart, Inc. Store #2119
Inspection Information - Office: Fremont District Office
Inspection Nr: 1429571.015
Report ID: 0950612
Date Opened: 09/09/2019
Site Address:
Walmart, Inc. Store #2119
301 Ranch Dr.
Milpitas, CA 95035
Mailing Address:
702 Sw 8th St. Mail Stop: 0505, Bentonville, AR 72716
Union Status: NonUnion
SIC:
NAICS: 452111/Department Stores (except Discount Department Stores)
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 03/02/2020
Emphasis:
Case Closed: 04/18/2022
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1496086 |
Case Status: CLOSED
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | 2 | |||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $10,000 | $1,000 | $0 | $11,000 |
| Current Penalty | $0 | $0 | $10,000 | $0 | $0 | $10,000 |
| 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 | 342(A) | 03/03/2020 | $10,000 | $10,000 | $0 | 03/12/2020 | O - Administrative Law Judge Order | ||
| 2. | 01002 | Other | 3203(A) | 03/03/2020 | $0 | $1,000 | $0 | 03/12/2020 | O - Administrative Law Judge Order | Citation has been deleted. |
Investigation Summary
Investigation Nr: 119685.015
Event: 09/05/2019
Employee is found unresponsive by customer within store and
At 7:33 a.m. on September 5, 2019, an employee was cleaning the floors within a store and found unresponsive on the floor by a customer. The employee sustained blunt force head injuries and is killed.
Keywords: Blunt force trauma, Head, Unconsciousness, Unresponsive
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1429571.015 | 71 | M | Fatality | Janitors and cleaners |