Translate
Inspection Detail
Inspection: 1528444.015 - Costco Wholesale Corporation
Inspection Information - Office: Modesto District Office
Site Address:
Costco Wholesale Corporation
17880 Schulte Road
Tracy, CA 95377
Mailing Address:
17880 Schulte Road, Tracy, CA 95377
Union Status: NonUnion
SIC:
NAICS: 311612/Meat Processed from Carcasses
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/11/2021
Emphasis:
Case Closed: 11/13/2022
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1759581 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $1,060 | $0 | $1,060 |
| Current Penalty | $0 | $0 | $0 | $425 | $0 | $425 |
| 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 | 3203(A)(4) | 10/11/2021 | $0 | $210 | $0 | 11/21/2021 | O - Administrative Law Judge Order | Citation has been deleted. | |
| 2. | 01002 | Other | 3314(C) | 10/11/2021 | $0 | $425 | $0 | 11/21/2021 | O - Administrative Law Judge Order | Citation has been deleted. | |
| 3. | 01003 | Other | 3942(A) | 10/11/2021 | $425 | $425 | $0 | 11/21/2021 | O - Administrative Law Judge Order |
Investigation Summary
At 5:20 a.m. on April 21, 2021, Employee #1, employed as a Sanitation Assistant at a meat processing facility, was engaged in the routine sanitation process on hot dog line one and the Drake elevating conveyor. While cleaning near the guard covering the chain and sprocket, the employee slipped, causing his hand to slip behind the guard and come into contact with the nip point of the chain and sprocket. The employee sustained an amputation to the tip of the left index finger and an avulsion to the left middle finger. The employee was transported to Sutter Tracy Community Hospital in Tracy, CA, and later transferred to the Buncke Medical Clinic in San Francisco for treatment. The Division was notified of the accident at 12:38 p.m. on the same day, and the inspection started on May 3, 2021.
Keywords: Amputated, Amputation, Chain, Cleaning, Contact, Conveyor, Finger, Fingertip, Guard, Hand, Nip Point, Slip, Sprocket, Unguarded
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1528444.015 | 19 | M | Non Hospitalized injury | Food Cleanup Worker |