Inspection Detail

Inspection: 314329848 - Costco Wholesale Corporation

Inspection Information - Office: American Canyon District Office

Inspection Nr: 314329848

Report ID: 0950622

Date Opened: 03/07/2012

Site Address:
Costco Wholesale Corporation
3150 Fostoria Way
Danville, CA 94526

Mailing Address:
999 Lake Drive, Issaquah, WA 98027

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: 04/02/2012

Emphasis:

Case Closed: 05/03/2013

Related Activity
Type	Activity Nr	Safety	Health
Accident	102691607

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2			1		3
Current Violations	1			1		2
Initial Penalty	$40,500	$0	$0	$425	$0	$40,925
Current Penalty	$18,000	$0	$0	$850	$0	$18,850
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	Contest	Latest Event	Note
1.	01001	Other	3330 A	04/02/2012	05/05/2012	$0	$425	$0	04/23/2012	F - Formal Settlement	Citation has been deleted.
2.	02001	Other	3314 C	04/02/2012	04/12/2012	$850	$18,000	$0	04/23/2012	F - Formal Settlement
3.	03001	Serious	3314 J01	04/02/2012	04/12/2012	$18,000	$22,500	$0	04/23/2012	F - Formal Settlement

Investigation Summary

Investigation Nr: 202509014

Event: 10/04/2011

Employee Amputates Finger While Cleaning Ice Mixer Machine

At approximately 1:10 p.m. on October 4, 2011, Employee #1 was cleaning the chute inside the extraction door of a Gelato ice mixer. Employee #1 should have powered off the machine before beginning work. The mixer activated and the mixer's blade sliced the tip of the right hand's index finger. Employee #1 was transported to San Ramon Regional Medical Center, where her fingertip was amputated. Employee #1 was hospitalized.

Keywords: MIXER BLADE, AMPUTATED, FINGER, CLEANING, MIXER, LOCKOUT, STRUCK BY, HAND

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	314329848			Hospitalized injury	Amputation	Short-order cooks

Thank You for Visiting Our Website

You are exiting the Department of Labor's Web server.

The Department of Labor does not endorse, takes no responsibility for, and exercises no control over the linked organization or its views, or contents, nor does it vouch for the accuracy or accessibility of the information contained on the destination server. The Department of Labor also cannot authorize the use of copyrighted materials contained in linked Web sites. Users must request such authorization from the sponsor of the linked Web site. Thank you for visiting our site. Please click the button below to continue.