Inspection Detail

Inspection: 316540087 - Wal-Mart Stores, Inc.

Inspection Information - Office: Iowa 0751910

Inspection Nr: 316540087

Report ID: 0751910

Date Opened: 05/15/2012

Site Address:
Wal-Mart Stores, Inc.
2701 W Burlington
Fairfield, IA 52556

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: 05/15/2012

Emphasis: S:Fatality Catastrophe

Case Closed: 04/17/2013

Related Activity
Type	Activity Nr	Safety	Health
Accident	100522572

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				1		1
Current Violations
Initial Penalty	$0	$0	$0	$3,750	$0	$3,750
Current Penalty	$0	$0	$0	$0	$0	$0
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citation Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Other	19040039 A	06/04/2012	06/07/2012	$0	$3,750	$0	06/29/2012	F - Formal Settlement	Citation has been deleted.

Investigation Summary

Investigation Nr: 200535052

Event: 05/12/2012

Employee Dies after Falling on Way to Vehicle

At 11:00 or 11:15 a.m. on May 10, 2012, an employee was working as a sales counter clerk for a big-box retail store. She was on her break and walking out to her vehicle, when she fell and struck her head. She had been talking to coworkers just prior to the incident. The employee was transported by emergency response personnel of the rescue squad to the local Jefferson County Health Center, in Fairfield, Iowa. The employee was then transferred to the University of Iowa Hospital to determine the severity of her injuries. Finally, she was transferred to the local hospice, where she died at 5:20 a.m. on May 12, 2012. The narrative did not state the reason for her fall.

Keywords: HEAD, EMERGENCY RESPONSE, STRUCK AGAINST, WALKING SURFACE, ELDERLY, FALL

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	316540087			Fatality	Other	Sales counter clerks

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