Inspection Detail

Inspection: 315235218 - Tractor Supply Company

Inspection Information - Office: Tennessee Osha Nashville Office - Safety

Inspection Nr: 315235218

Report ID: 0454712

Date Opened: 12/14/2010

Site Address:
Tractor Supply Company
3556 Tom Austin Hwy
Springfield, TN 37172

Mailing Address:
200 Powell Place, Brentwood, TN 37027

Union Status: NonUnion

SIC:5251

NAICS: 444130/Hardware Stores

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 12/14/2010

Emphasis: L:Fall

Case Closed: 03/21/2011

Related Activity
Type	Activity Nr	Safety	Health
Accident	100626241

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations	1					1
Initial Penalty	$2,400	$0	$0	$4,000	$0	$6,400
Current Penalty	$2,400	$0	$0	$0	$0	$2,400
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	Serious	19100023 C01	02/04/2011	03/21/2011	$2,400	$2,400	$0		P - Petition to Mod Abatement
2.	02001	Other	3000501 A	02/04/2011	02/14/2011	$0	$4,000	$0		I - Informal Settlement	Citation has been deleted.

Investigation Summary

Investigation Nr: 200625994

Event: 11/24/2010

Employee Is Injured in Fall from Loading Dock, Later Dies

On November 24, 2010, Employee #1, who was born in 1934, was carrying empty cardboard boxes to a dumpster located at the end of a loading dock outside the building. Employee #1 fell four feet off the end of the loading dock and sustained head injuries. He died 16 days later on December 10, 2010. Employee #1 possibly had a stroke, which caused him to fall off the loading dock.

Keywords: CARDIOVASC SYSTEM, HEAD, DUMPSTER, CARDIOVASC DISEASE, ELDERLY, FALL, LOADING DOCK

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	315235218			Fatality	Bruise/Contus/Abras	Occupation not reported

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