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Inspection Detail
Inspection: 1447335.015 - Sam'S Club
Inspection Information - Office: Atlanta East Area Office
Site Address:
Sam'S Club
4701 Log Cabin Drive
Macon, GA 31204
Mailing Address:
702 Southwest 8th St. Mailstop 0505, Bentonville, AR 72716
Union Status: NonUnion
SIC:
NAICS: 452910/Warehouse Clubs and Supercenters
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 11/25/2019
Emphasis: L:Forklift
Case Closed: 05/06/2020
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1518803 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $13,494 | $0 | $0 | $0 | $0 | $13,494 |
| 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 | 19100178 L03 I H | 04/03/2020 | 05/08/2020 | $0 | $13,494 | $0 | I - Informal Settlement |
Investigation Summary
At 6:45 a.m. on November 17, 2019, an employee was moving pallets of product. Two pallets of product were lifted and overloaded the stand-up forklift to tilt forward off the back wheel. The employee stepped off of the forklift, and the forklift came back down and landed on the employee. The employee's leg was caught between the lift and the ground. The employee suffered a blood clot and was hospitalized.
Keywords: Blood Clot, Caught Between, Falling Object, Forklift, Leg, Overloaded, Pallet, Stand-Up Forklift, Struck By
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1447335.015 | 48 | F | Hospitalized injury | Occupation Not Listed |