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Inspection Detail
Inspection: 309603033 - Sams Club 8102
Inspection Information - Office: Mobile Area Office
Inspection Nr: 309603033
Report ID: 0418600
Date Opened: 05/19/2006
Site Address:
Sams Club 8102
601 East I-65 Service Rd.
Mobile, AL 36606
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:5311
NAICS: 452112/Discount Department Stores
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/03/2006
Emphasis:
Case Closed: 05/09/2007
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 100452846 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 2 | 4 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $10,000 | $0 | $0 | $6,000 | $0 | $16,000 |
| Current Penalty | $2,500 | $0 | $0 | $500 | $0 | $3,000 |
| 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. | 01001A | Serious | 5A0001 | 10/31/2006 | 11/28/2007 | $0 | $5,000 | $0 | 11/20/2006 | F - Formal Settlement | Citation has been deleted. |
| 2. | 01001B | Serious | 19100023 A08 II | 10/31/2006 | 11/06/2007 | $0 | $0 | $0 | 11/20/2006 | F - Formal Settlement | Citation has been deleted. |
| 3. | 01002 | Serious | 5A0001 | 10/31/2006 | 11/28/2006 | $2,500 | $5,000 | $0 | 11/20/2006 | F - Formal Settlement | |
| 4. | 02001 | Other | 19040029 B01 | 10/31/2006 | 11/06/2006 | $500 | $1,000 | $0 | 11/20/2006 | F - Formal Settlement | |
| 5. | 02002 | Other | 19040039 A | 10/31/2006 | 11/06/2006 | $0 | $5,000 | $0 | 11/20/2006 | F - Formal Settlement | Citation has been deleted. |
Investigation Summary
Investigation Nr: 200452076
Event: 05/17/2006
Employee Falls and Later Dies of Blood Clot
Employee #1 was setting a dock plate lip when he fell between the dock plate and the trailer. Employee #1 was treated for a laceration to his leg. Ten days later, he died due to a blood clot.
Keywords: BLOOD CLOT, LOADING RAMP, STRUCK AGAINST, LACERATION, TRUCK, FALL, LOADING DOCK, WORK SURFACE, LEG
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 309603033 | Fatality | Cut/Laceration | Occupation not reported |