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Inspection Detail
Inspection: 310636329 - Costco Wholesale
Inspection Information - Office: Fremont District Office
Inspection Nr: 310636329
Report ID: 0950612
Date Opened: 04/24/2007
Site Address:
Costco Wholesale
1000 N. Rengstorff Ave.
Mountain View, CA 94043
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: 06/25/2007
Emphasis:
Case Closed: 09/06/2007
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102523388 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | ||||||
| Initial Penalty | $0 | $0 | $0 | $750 | $0 | $750 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| 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 T05 | 07/06/2007 | 07/11/2007 | $0 | $750 | $0 | I - Informal Settlement | Citation has been deleted. |
Investigation Summary
Investigation Nr: 202495651
Event: 04/23/2007
Employee Fractures Ankle When Forklift Strikes Pole
On April 23, 2007, Employee #1, a forklift operator, was driving the utility truck with his foot outside of the vehicle. He struck a pole and fractured his ankle. He was hospitalized for treatment.
Keywords: FRACTURE, STRUCK AGAINST, METAL POLE, INDUSTRIAL TRUCK, ANKLE, INATTENTION
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 310636329 | Hospitalized injury | Fracture | Industrial truck and tractor equipment operators |