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Inspection Detail
Inspection: 1565288.015 - Home Depot Usa, Inc.
Inspection Information - Office: Va-E-Manassas (Regional Office)- Safety 0355114
Site Address:
Home Depot Usa, Inc.
2815 Merrilee Dr
Fairfax, VA 22031
Mailing Address:
2815 Merrilee Dr, Fairfax, VA 22031
Union Status: NonUnion
SIC:
NAICS: 444130/Hardware Stores
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 11/23/2021
Emphasis: S:Fri
Case Closed: 06/23/2022
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1837780 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $13,434 | $0 | $0 | $0 | $0 | $13,434 |
| Current Penalty | $10,674 | $0 | $0 | $0 | $0 | $10,674 |
| 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 | Serious | 16VAC25-60-120 | 05/18/2022 | 06/07/2022 | $10,674 | $13,434 | $0 | I - Informal Settlement |
Investigation Summary
At 12:10 a.m. on November 23, 2021, Employee #1 was operating a forklift (Toyota Forklift Truck Model 8FGCU30, Serial No. C2227) to unload an incoming delivery shipment, consisting of lumber and other building materials. Employee #1's forklift tipped over. He was not wearing a seatbelt. Employee #1 was crushed by the forklift and was killed.
Keywords: Crushed, Forklift, Pinned, Seat Belt
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1565288.015 | 43 | M | Fatality | Sales workers, hardware and building supplies |