Inspection Detail
Inspection: 308209220 - Sam'S Club #8177
Inspection Information - Office: Nv-E-Las Vegas 0953220
Site Address:
Sam'S Club #8177
5101 S. Pecos Road
Las Vegas, NV 89120
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:5311
NAICS: 452112/Discount Department Stores
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/05/2004
Planning Guide: Safety-Manufacturing
Emphasis:
Case Closed: 03/07/2005
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101043230 |
Investigation Summary
On September 22, 2004, Employee #1, a stand-up lift truck operator, had just lowered a television from the upper level of heavy-duty industrial-type shelving. For an unknown reason, he then backed into the shelving unit instead of pulling away to return to the lift truck staging area at the rear of the store. His upper body was forced under the bottom shelf as the lift truck cab went under the shelf. Two coworkers that were acting as spotters assisted Employee #1 in backing the lift truck out from under the shelf by operating the joystick control while Employee #1 operated the foot pedal. He was transported to UMC Trauma Center, where he later died. Employee #1 had documented training and had been doing this task since August 23, 1999. The operation and maintenance records of the Crown Lift Truck (Model 30 RCTT, Serial Number 1A108226) were reviewed and no discrepancies were identified. A Crown Lift Truck Field Foreman found no mechanical or operational problems subsequent to the accident. The lift truck had been last serviced on September 17, 2004, for a loose battery cable. A review of the service records verified that Crown Lift Trucks personnel perform scheduled monthly maintenance checks on the lift trucks.
Keywords: STAND-UP OPERATOR, EQUIPMENT OPERATOR, FOOT CONTROL, CRUSHED, STORAGE AREA, BACKING UP
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 308209220 | Fatality | Other | Occupation not reported |
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