Inspection Detail
Inspection: 310603782 - Sam'S Club
Inspection Information - Office: San Bernardino District Office
Site Address:
Sam'S Club
1375 East Ontario Ave
Corona, CA 92882
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:5399
NAICS: 452910/Warehouse Clubs and Supercenters
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 12/23/2008
Emphasis:
Case Closed: 09/19/2015
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102552965 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $185 | $0 | $185 |
| Current Penalty | $0 | $0 | $0 | $185 | $0 | $185 |
| 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 | 3650 T09 | 12/23/2008 | 01/25/2009 | $185 | $185 | $0 | - |
Investigation Summary
At approximately 5:00 a.m. on June 25, 2008, Employee #1 exited a walk-in freezer and turned into an aisle way. As he turned, Employee #1 struck the metal post of a storage rack, crushing his left foot between the metal post and the frame of a forklift. Emergency services were contacted and, upon arrival, Employee #1 was taken to Corona Regional Medical Center, where he was hospitalized and underwent surgery. During an interview with Employee #1, he stated that he had slipped on condensation located on the floor near the freezer; however, the accident investigation revealed that no condensation was present.
Keywords: FRACTURE, SLIP, METAL POLE, CAUGHT BETWEEN, CRUSHED, INDUSTRIAL TRUCK, SLIPPERY SURFACE, FOOT, INATTENTION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 310603782 | Hospitalized injury | Fracture | Stock and inventory clerks |
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