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Inspection Detail
Inspection: 1479016.015 - Cost Plus, Inc.
Inspection Information - Office: Va-E-Norfolk (Regional Office) - Safety 0355112
Site Address:
Cost Plus, Inc.
12300 Dominion Way
Windsor, VA 23487
Mailing Address:
12300 Dominion Way, Windsor, VA 23487
Union Status: NonUnion
SIC:
NAICS: 493190/Other Warehousing and Storage
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 07/14/2020
Emphasis: P:Hvyequip, S:Fri, S:Hvyequip
Case Closed: 09/23/2020
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1606379 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| 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 Q06 | 08/04/2020 | 08/27/2020 | $0 | $0 | $0 | Z - Issued |
Investigation Summary
At 11:15 a.m. on June 15, 2020, an employee was driving a forklift down an aisle. The employee injured his left foot when he was driving down the aisle and collided with a forklift that had the forks facing the wrong way. The employee sustained a broken foot and was hospitalized.
Keywords: Aisle, Broken Bone, Collision, Foot, Forklift, Forks, Fracture
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1479016.015 | 25 | M | Hospitalized injury | Industrial truck and tractor equipment operators |