Inspection Detail

Case Status: CLOSED

Inspection: 980125.015 - Supervalu, Inc.

Inspection Information - Office: Jackson Area Office

Inspection Nr: 980125.015

Report ID: 0419400

Date Opened: 06/10/2014

Site Address:
Supervalu, Inc.
Supervalu - Lewis Grocer Division 301 Martin Luther King Blvd.
Indianola, MS 38751

Mailing Address:
7075 Flying Cloud Dr., Eden Prairie, MN 55344

Union Status: NonUnion

SIC:

NAICS: 493120/Refrigerated Warehousing and Storage

Inspection Type: Fat/Cat

Scope: Complete

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 06/11/2014

Emphasis: L:Fall

Case Closed: 09/10/2014

Related Activity
Type	Activity Nr	Safety	Health
Accident	893374

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	2					2
Current Violations				2		2
Initial Penalty	$7,700	$0	$0	$0	$0	$7,700
Current Penalty	$0	$0	$0	$5,390	$0	$5,390
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	19100303 B07 I	08/13/2014	08/20/2014	$2,310	$3,300	$0		I - Informal Settlement
2.	01002	Other	19100303 G01 I A	08/13/2014	08/20/2014	$3,080	$4,400	$0		I - Informal Settlement

Investigation Summary

Investigation Nr: 62890.015

Event: 06/10/2014

Employee Is Killed From Fall From A Mobile Scaffold

At 11:09 a.m. on June 10, 2014, an employee was checking stock quantities that were elevated in a scissor lift. The employee fell approximately 20 to 25 feet to the concrete and was killed.

Keywords: Elevated Work Platform, Fall, Scaffold

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	980125.015	29	M	Fatality		Statistical clerks

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