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Inspection Detail
Inspection: 300812260 - Sears Roebuck
Inspection Information - Office: Labor Enforcement Task Force (Letf) Unit - South
Site Address:
Sears Roebuck
1310 Roundhouse Rd
San Luis Obispo, CA 93401
Mailing Address:
273 Madonna Rd, San Luis Obispo, CA 93405
Union Status: NonUnion
SIC:5311
NAICS: 0
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 02/20/2002
Emphasis:
Case Closed: 09/06/2006
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 362149502 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 3 | 5 | |||
| Current Violations | 1 | 4 | 5 | |||
| Initial Penalty | $23,735 | $0 | $0 | $1,275 | $0 | $25,010 |
| Current Penalty | $4,725 | $0 | $0 | $1,275 | $0 | $6,000 |
| 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 B02 | 02/22/2002 | 03/04/2002 | $425 | $425 | $0 | - | ||
| 2. | 01002 | Other | 3664 A | 02/22/2002 | 03/04/2002 | $425 | $425 | $0 | - | ||
| 3. | 01003 | Other | 3668 F | 02/22/2002 | 03/04/2002 | $425 | $425 | $0 | - | ||
| 4. | 02001 | Other | 3270 B | 02/22/2002 | 03/04/2002 | $0 | $18,000 | $0 | 06/21/2002 | F - Formal Settlement | |
| 5. | 03001 | Serious | 3657 A | 02/22/2002 | 03/04/2002 | $4,725 | $5,735 | $0 | 06/21/2002 | F - Formal Settlement |
Investigation Summary
At approximately 1:00 p.m. on November 29, 2001, Employee #1, a merchandiser support assistant, was operating a Clark forklift, Model C500Y300, Serial Number Y235-53-3700. He was being observed by a coworker who was being trained. Employee #1 positioned his forklift to retrieve a refrigerator on the third level which was 11.83 ft high. He climbed the forklift and racks to position the refrigerator on the forks. He then climbed down and when he reached the second level, approximately 8 ft high, he jumped to the floor. Employee #1 broke his left ankle and was hospitalized.
Keywords: FRACTURE, CRUSHED, INDUSTRIAL TRUCK, RUN OVER, ANKLE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 300812260 | Hospitalized injury | Fracture | Stock and inventory clerks |