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Inspection Detail
Inspection: 1547349.015 - Sysco Guest Supply
Inspection Information - Office: Avenel Area Office
Site Address:
Sysco Guest Supply
409 Kennedy Drive
Sayreville, NJ 08871
Mailing Address:
409 Kennedy Drive, Sayreville, NJ 08871
Union Status: NonUnion
SIC:
NAICS: 423850/Service Establishment Equipment and Supplies Merchant Wholesalers
Inspection Type: Prog Related
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 08/12/2021
Emphasis:
Case Closed: 04/26/2022
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | 2 | |||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $11,703 | $0 | $0 | $0 | $0 | $11,703 |
| Current Penalty | $0 | $0 | $0 | $11,703 | $0 | $11,703 |
| 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 L01 I | 10/22/2021 | 11/10/2021 | $11,703 | $11,703 | $0 | 11/12/2021 | J - ALJ Decision | |
| 2. | 01002 | Other | 19100178 L06 | 10/22/2021 | 11/10/2021 | $0 | $0 | $0 | 11/12/2021 | J - ALJ Decision |
Investigation Summary
At 1:39 p.m. on August 12, 2021, Employee #1 was moving product using a Crown Stand-Up Electric Double Pallet Jack (Model PE4500-60, Serial Number 10082609, Company Number W02) when he lost control while making a turn. As a result, he fell from the pallet jack, sustaining a fracture to his left ankle. The employee was hospitalized for treatment.
Keywords: Ankle, Fall, Fall From Elevation, Fracture, Lost Control, Pallet Jack, Pit
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1547349.015 | 21 | M | Hospitalized injury | Laborers, except construction |