Inspection Detail
Inspection: 306679515 - Sam'S Club
Inspection Information - Office: Iowa 0751910
Site Address:
Sam'S Club
3887 Elmore Avenue
Davenport, IA 52807
Mailing Address:
3887 Elmore Avenue, Davenport, IA 52807
Union Status: NonUnion
SIC:5141
NAICS: 424410/General Line Grocery Merchant Wholesalers
Inspection Type: Referral
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/27/2003
Emphasis: S:General Industry
Case Closed: 11/02/2006
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 200523819 | Yes |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $3,150 | $0 | $0 | $0 | $0 | $3,150 |
| Current Penalty | $3,150 | $0 | $0 | $0 | $0 | $3,150 |
| 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 | 19100212 A03 II | 11/17/2003 | 01/06/2004 | $3,150 | $3,150 | $0 | 04/19/2006 | F - Formal Settlement |
Investigation Summary
On September 22, 2003, Employee #1, a butcher, was using a bandsaw to trim a pork loin on a Hobert table, Model Number 49SN222OA, Serial Number XNL072858. The guard on the band saw was raised to the high position and Employee #1 amputated his left thumb at the first digit. He was transported to the hospital, where he was treated and released.
Keywords: AMPUTATED, FOOD PREPARATION, BANDSAW, GUARD, MEAT SLICING MACHINE, THUMB, SAW, STRUCK BY
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 306679515 | Non Hospitalized injury | Amputation | Butchers and meat cutters |
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