Inspection Detail

Inspection: 315348524 - Costco Wholesale

Inspection Information - Office: San Diego District Office

Inspection Nr: 315348524

Report ID: 0950632

Date Opened: 05/09/2013

Site Address:
Costco Wholesale
101 Town Center Pkwy
Santee, CA 92071

Mailing Address:
, , 00000

Union Status: Union

SIC:5099

NAICS: 423990/Other Miscellaneous Durable Goods Merchant Wholesalers

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/01/2013

Emphasis:

Case Closed: 04/29/2016

Related Activity
Type	Activity Nr	Safety	Health
Accident	101475655

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				2		2
Current Violations				2		2
Initial Penalty	$0	$0	$0	$700	$0	$700
Current Penalty	$0	$0	$0	$280	$0	$280
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	3203 A	09/27/2013	11/06/2013	$0	$420	$0	11/07/2013	F - Formal Settlement
2.	01002	Other	3272 E	09/27/2013	11/06/2013	$280	$280	$0	11/07/2013	F - Formal Settlement

Investigation Summary

Investigation Nr: 201079449

Event: 04/24/2013

Employee Fractures Foot When Pallet Jack Moves

At approximately 9:00 a.m. on April 25, 2013, Employee #1 was operating an electric pallet jack in the aisle closest to the receiving desk moving recyclable materials. The employee encountered a pallet of sundries which had been placed in the aisle where he was working. Employee #1 was attempting to maneuver the electric pallet jack between the pallet and the desk when it jammed between them. The employee stepped off the pallet jack and attempted to shift the pallet jack forward away from the pallet to clear the jam. The pallet jack moved in the reverse direction towards the employee, crushing his left foot between the base of the pallet jack and the pallet in the aisle. Employee #1 was transported to an area hospital, where he was treated for fractures to his left foot. The employee remained hospitalized.

Keywords: FRACTURE, JAMMED, CAUGHT BETWEEN, PALLET, JACK, FOOT

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	315348524			Hospitalized injury	Fracture	Occupation not reported

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