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Inspection Detail
Inspection: 305760738 - Sams Club
Inspection Information - Office: Alaska Department Of Labor Osh Enforcement
Site Address:
Sams Club
8801 Old Seward Highway
Anchorage, AK 99515
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:5399
NAICS: 452910/Warehouse Clubs and Supercenters
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/23/2003
Planning Guide: Safety-Manufacturing
Emphasis:
Case Closed: 03/22/2004
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101681674 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 1 | 3 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $7,125 | $0 | $0 | $3,750 | $0 | $10,875 |
| Current Penalty | $3,150 | $0 | $0 | $2,625 | $0 | $5,775 |
| 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 | 19100178 L02 IA | 02/06/2004 | 02/23/2004 | $2,625 | $2,625 | $0 | I - Informal Settlement | Citation has been deleted. | |
| 2. | 01002 | Serious | 19100178 M04 | 02/06/2004 | 02/23/2004 | $4,500 | $4,500 | $0 | I - Informal Settlement | Citation has been deleted. | |
| 3. | 01003A | Serious | 19100178 L02 IA | 02/06/2004 | 03/23/2004 | $3,150 | $0 | $0 | Q - National Office Adjustment | ||
| 4. | 01003B | Serious | 19100178 M04 | 02/06/2004 | 03/23/2004 | $0 | $0 | $0 | Q - National Office Adjustment | ||
| 5. | 02001 | Other | 18006058 A | 02/06/2004 | 02/11/2004 | $2,625 | $3,750 | $0 | I - Informal Settlement |
Investigation Summary
On October 20, 2003, Employee #1 was operating a Crown forklift, Model Number 30RC-TT, at a SAM's Club in Anchorage, AK. The employee attempted to decelerate the forklift by placing his foot outside the protective control space of the cab. As the forklift came to a stop, his foot became lodged between the forklift and the vertical support of a display rack, crushing his foot and ankle. He was hospitalized at Providence Hospital. The employer had a formal training program for forklift operators that involved interactive computer training and supervised training programs for operators prior to certification. Employee #1 was a forklift operator in training which involves a designated period of observed forklift operations prior to certification. The model being operated at the time of the accident required the employee to stand on a spring loaded platform with one foot while applying foot pressure to a foot pedal with the other foot. The operator stands in a curved, contoured continuous curvilinear metal shielding which protects the operator from outside impact. Employee #1 indicated that he extended his foot outside this protective space prior to impact with the metal support beam.
Keywords: FRACTURE, WORK RULES, EQUIPMENT OPERATOR, CRUSHED, INDUSTRIAL TRUCK, STORAGE RACK, STRUCK BY, FOOT
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 305760738 | Hospitalized injury | Fracture | Occupation not reported |