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Violation Detail
Standard Cited: 19040029 B02 Forms.
Inspection Nr: 1608898.015
Citation: 01003B
Citation Type: Other
Abatement Date: 11/27/2023 2
Initial Penalty: $2,072.00
Current Penalty: $0.00
Issuance Date: 12/15/2022
Nr Instances: 2
Nr Exposed: 250
Related Event Code (REC):
Gravity:
Report ID: 0524200
Contest Date: 01/06/2023
Final Order: 10/25/2023
Emphasis:
| Type | Latest Event | Event Date | Penalty | Abatement Due Date | Citation Type | Failure to Abate Inspection |
|---|---|---|---|---|---|---|
| Penalty | F: Formal Settlement | 10/25/2023 | $0.00 | 11/27/2023 | Other | |
| Penalty | C: Contested | 01/09/2023 | $2,072.00 | 01/12/2023 | Other | |
| Penalty | Z: Issued | 12/15/2022 | $2,072.00 | 01/12/2023 | Other |
Text For Citation: 01 Item/Group: 003B Hazard:
29 CFR 1904.29(b)(2): The employer did not fill out or correctly fill out an OSHA Form 301 or equivalent for each recordable injury or illness: Amazon.com Services LLC - MDW8 in Waukegan, IL - On or about July 18, 2022, the employer had not filled out OSHA Forms 301 in completeness for the calendar year 2022. Violative instances included but were not limited to: (a) Case No. 10 (Outbound Ship Dock Load - upper back injury) occurring on 6/22/2022 had an OSHA Form 301 that was not filled out in a complete manner. Question 15 was filled out 'Strain' and failed to describe how the injury occurred, employee tried to TPS a 90 lb. propane gas grill package while loading a trailer. Question 16 was filled out 'Strain' and failed to describe what the injury was in terms of part of the body affected, upper back. Question 17 was filled out 'Other equipment; Other' and failed to describe what object directly harmed the employee, a 90 lb. propane gas grill package. (b) Case No. 8 (Outbound Ship Dock Sort - lower leg injury) occurring on 6/23/2022 had an OSHA Form 301 that was not filled out in a complete manner. Question 16 was filled out 'Left lower sin [sic]' and failed to describe what the injury was in terms of how that part of the body was affected, contusion. Question 17 was not filled out and failed to describe what object directly harmed the employee, a 148 lb. fitness equipment package. In accordance with 29 CFR 1903.19(c), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET).