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Inspection Detail
Inspection: 1533954.015 - Walmart Inc.
Inspection Information - Office: Sacramento District Office
Site Address:
Walmart Inc.
15960 Dam Rd
Clearlake, CA 95422
Mailing Address:
15960 Dam Road, Clearlake, CA 95422
Union Status: NonUnion
SIC:
NAICS: 445110/Supermarkets and Other Grocery (except Convenience) Stores
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 08/23/2021
Emphasis:
Case Closed: 05/15/2023
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1773017 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $5,000 | $0 | $5,000 |
| Current Penalty | $0 | $0 | $0 | $2,500 | $0 | $2,500 |
| 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 | 342(A) | 09/14/2021 | $2,500 | $5,000 | $0 | 03/14/2022 | O - Administrative Law Judge Order |
Investigation Summary
At 12:47 p.m. on November 2, 2019, an employee was cleaning the floors in the bathroom when she went to the maintenance area to empty the full bucket and refill it with clean water. While refilling the bucket, it slipped and fell onto the employee's foot. The employee's foot became infected and she was hospitalized to treat an amputation of her fourth toe.
Keywords: Amputated, Amputation, Bucket , Cleaning, Falling Object, Filling, Floor, Infection, Struck By, Toe
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1533954.015 | 58 | F | Hospitalized injury | Occupation Not Listed |