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Inspection Detail

Case Status: CLOSED

Inspection: 1555596.015 - Pilot Travel Centers, Llc

Inspection Information - Office: Jacksonville Area Office

 

Inspection Nr: 1555596.015
Report ID: 0419700
Date Opened: 09/30/2021

Site Address:
Pilot Travel Centers, Llc
1050 Us Highway 301 South
Baldwin, FL 32234

Mailing Address:
Po Box 10146 Attn Payroll Dept, Knoxville, TN 37939

Union Status: NonUnion

SIC:

NAICS: 447110/Gasoline Stations with Convenience Stores


Inspection Type: Fat/Cat

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 01/19/2022

Emphasis:

Case Closed: 02/08/2022


Related Activity
Type Activity Nr Safety Health
Accident 1817729
Case Status: CLOSED

Investigation Summary

Investigation Nr: 139717.015
Event: 09/30/2021
Employee is killed after being struck and caught under cart

At 4:00 a.m. on September 30, 2021, an employee drove a EZGO Model TXT 48 Golf Cart to a diesel island area, stopped the cart and exited preparing to cleanout the drains. The employee then proceeded to lay down in front of the cart and reach up underneath when the cart jerked forward pushing him forward while still lying on the ground. The cart rolled on top of and pinned the employee between the ground and the cart, finally stopping movement approximately 2 minutes after the employee became pinned. Coworkers, including the store manager, responded and lifted the golf cart off the employee. The employee incurred crushing injuries, contusions and abrasions to his chest, arms, back, knees and shoulders and was killed due to mechanical asphyxia from being caught between the cart and the concrete diesel lane surface and metal grates.

Keywords: Abrasion, Arm, Asphyxiated, Back, Cart, Caught Between, Caught By, Chest, Concrete Surface, Contusion, Crushed, Gas Station, Golf Cart, Grate, Janitor, Knee, Lockout, Lockout/Tagout, Pinned, Run Over, Shoulder, Struck By, Work Surface

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 1555596.015 28 M Fatality Janitors and cleaners
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