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Inspection Detail
Inspection: 1526322.015 - Wa317962216 - Fred Meyer Stores Inc
Inspection Information - Office: Dosh Tumwater Service Location, Tumwater, Wa
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
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1757630 |
| 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 |
| # | 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
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
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1526322.015 | 46 | M | Fatality | Occupation not reported |