Inspection Detail

Case Status: CLOSED

Inspection: 1436760.015 - Fas Mart #443

Inspection Information - Office: Va-E-Abingdon (Field Office) - Safety 0355110

Inspection Nr: 1436760.015

Report ID: 0355110

Date Opened: 10/09/2019

Site Address:
Fas Mart #443
25 Swords Creek Road
Honaker, VA 24260

Mailing Address:
8565 Megellan Parkway, Suite 400, Richmond, VA 23227

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: 12/05/2019

Emphasis:

Case Closed: 06/11/2020

Related Activity
Type	Activity Nr	Safety	Health
Referral	1507345	Yes

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations	1			1		2
Initial Penalty	$13,047	$0	$0	$0	$0	$13,047
Current Penalty	$13,047	$0	$0	$0	$0	$13,047
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	Contest	Latest Event	Note
1.	01001	Serious	19100022 A02	12/09/2019	12/23/2019	$13,047	$13,047	$0		Z - Issued
2.	02001	Other	19100303 G01	12/09/2019	12/23/2019	$0	$0	$0		Z - Issued

Investigation Summary

Investigation Nr: 120574.015

Event: 10/04/2019

Employee incurs head injuries after slipping on wet floor

At 11:45 p.m. on October 4, 2019, an employee was carrying dishes from the sandwich preparation area to the dish washing area. Some water had accumulated on the tile floor causing the employee to slip and fall. The employee fell backwards and struck the back of her head on the floor causing a large knot on her head. The employee was hospitalized to treat a concussion and bleeding on the brain.

Keywords: Brain, Brain Bleed, Concrete Floor, Concussion, Fall, Fall On Same Level, Head, Housekeeping, Lack of Engineering Controls, Restaurant, Skull, Slippery Surface, Struck Against, Traumatic Brain Injury, Walking Surface, Water, Wet, Work Surface

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1436760.015	62	F	Hospitalized injury		Kitchen workers, food preparation

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