Inspection Detail
Inspection: 308414291 - Wal Mart Stores Inc
Inspection Information - Office: Medford
Site Address:
Wal Mart Stores Inc
2051 Newmark
Coos Bay, OR 97420
Mailing Address:
Po Box 82, Bentonville, AR 72712
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: 01/06/2005
Planning Guide: Safety-Manufacturing
Emphasis:
Case Closed: 04/21/2005
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101620565 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $500 | $0 | $500 |
| Current Penalty | $0 | $0 | $0 | $500 | $0 | $500 |
| 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 | 701070021 A | 01/18/2005 | 12/06/2005 | $500 | $500 | $0 | - |
Investigation Summary
At approximately 4:00 p.m. on December 3, 2005, Employee #1 was standing on a step ladder that was about 3 feet above the floor to arrange store items on a shelf. Employee #1 fell and struck his head on the floor. A witness came to his aid and emergency services were called. Employee #1 was transported to Bay Area Hospital and treated for a head injury. He was later transferred to Emanual Hospital in Portland Oregon where he died from severe head trauma. It was not determined whether Employee #1 fell from a loss of balance or if a medical condition could have been the cause. However, a witness reported that Employee #1 appeared disoriented and struggled while receiving assistance after the fall.
Keywords: HEAD, LADDER, STRUCK AGAINST, FALL, STORAGE RACK, WORK SURFACE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 308414291 | Fatality | Other | Buyers, wholesale & retail trade except farm prod. |
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