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Inspection Detail

Case Status: CLOSED

Inspection: 1526322.015 - Wa317962216 - Fred Meyer Stores Inc

Inspection Information - Office: Dosh Tumwater Service Location, Tumwater, Wa

 

Inspection Nr: 1526322.015
Report ID: 1055340
Date Opened: 12/24/2020

Site Address:
Wa317962216 - Fred Meyer Stores Inc
11325 Se Mill Plain Blvd
Vancouver, WA 98684

Mailing Address:
3800 Se 22nd Ave Mailstop 34c, Portland, OR 97202

Union Status: Union

SIC:

NAICS: 452111/Department Stores (except Discount Department Stores)

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 05/26/2021

Emphasis:

Case Closed: 11/02/2022

Related Activity
Type Activity Nr Safety Health
Accident 1757630
Case Status: CLOSED
Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 2 1 3
Current Violations 2 1 3
Initial Penalty $13,200 $0 $0 $0 $0 $13,200
Current Penalty $10,000 $0 $0 $0 $0 $10,000
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. 01001A Serious 296-800-14020(1) 06/10/2021 12/24/2020 $7,000 $6,600 $0 11/09/2021 F - Formal Settlement  
2. 01001B Serious 296-800-14005 06/10/2021 12/24/2020 $0 $3,300 $0 11/09/2021 F - Formal Settlement  
3. 01003 Serious 296-863-40050(2)(B) 06/10/2021 12/24/2020 $3,000 $3,300 $0 11/09/2021 F - Formal Settlement  
4. 02001 Other 296-800-32010 06/10/2021 12/24/2020 $0 $0 $0 11/09/2021 F - Formal Settlement  

Investigation Summary

Investigation Nr: 135214.015
Event: 12/24/2020
Employee is killed when caught between wall and semi truck

At 12:32 a.m. on December 24, 2021, an employee was working on a receiving dock when he leaned off the dock as a semi-trailer truck was pulling away. The semi lurched back, crushing the employee between the wall and the semi and killing him.

Keywords: Blunt force, Blunt force trauma, Caught Between, Crushed, Dock, Loading Dock, Motor Vehicle, Struck Against, Struck By, Tractor Trailer, Trailer Truck, Training, Truck, Truck Driver, Wall

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 1526322.015 46 M Fatality Occupation not reported
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