Inspection Detail

Inspection: 308236991 - Winn Dixie Warehouse

Inspection Information - Office: Sc Department Of Labor, Licensing, And Regulation

Inspection Nr: 308236991

Report ID: 0454510

Date Opened: 03/31/2005

Site Address:
Winn Dixie Warehouse
2819 Wade Hampton Blvd.
Taylors, SC 29687

Mailing Address:
5050 Edgewood Court, Jacksonville, FL 32205

Union Status: NonUnion

SIC:5411

NAICS: 445110/Supermarkets and Other Grocery (except Convenience) Stores

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 04/21/2005

Emphasis:

Case Closed: 07/25/2005

Related Activity
Type	Activity Nr	Safety	Health
Accident	100375583

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2			2		4
Current Violations	2			2		4
Initial Penalty	$3,000	$0	$0	$0	$0	$3,000
Current Penalty	$3,000	$0	$0	$0	$0	$3,000
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Latest Event
1.	01001	Serious	19100178 N04	06/02/2005	06/14/2005	$1,875	$1,875	$0	I - Informal Settlement
2.	01002	Serious	19100178 N01	06/02/2005	06/14/2005	$1,125	$1,125	$0	I - Informal Settlement
3.	02001	Other	30029 B01	06/02/2005	07/05/2005	$0	$0	$0	I - Informal Settlement
4.	02002	Other	19100178 L03 I	06/02/2005	07/05/2005	$0	$0	$0	I - Informal Settlement

Investigation Summary

Investigation Nr: 200373447

Event: 03/17/2005

Employee Struck by Forklift

On March 17, 2005, an employee working at a warehouse was walking to the receiving area to get some papers when he was struck by a forklift backing out of an unloading bay. The employee suffered an amputation and was hospitalized.

Keywords: WAREHOUSE, INDUSTRIAL TRUCK, PAPER, LOAD BINDER, STRUCK BY

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	308236991			Hospitalized injury	Amputation	General office clerks

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