Violation Detail
Standard Cited: 19040029 B02 Forms.
This violation item has been deleted.
Inspection Nr: 1450114.015
Citation: 01003
Citation Type: Other
Abatement Date: 02/19/2020 2
Initial Penalty: $1,928.00
Current Penalty: $0.00
Issuance Date: 01/23/2020
Nr Instances: 5
Nr Exposed: 5
Related Event Code (REC): R
Gravity:
Report ID: 0521700
Contest Date: 02/21/2020
Final Order: 05/11/2020
Emphasis:
| Type | Latest Event | Event Date | Penalty | Abatement Due Date | Citation Type | Failure to Abate Inspection |
|---|---|---|---|---|---|---|
| Penalty | F: Formal Settlement | 05/11/2020 | $0.00 | 02/19/2020 | Other | |
| Penalty | C: Contested | 02/24/2020 | $1,928.00 | 02/19/2020 | Other | |
| Penalty | Z: Issued | 01/23/2020 | $1,928.00 | 02/19/2020 | Other |
Text For Citation: 01 Item/Group: 003 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. Lakes Venture LLC dba Fresh Thyme Farmers Market LLC, Bolingbrook, Illinois - On or about December 11, 2019, an OSHA 301s for the following injuries were incorrectly filled out for the calendar year 2019. a) On or about August 23, 2019, a recordable injury occurred when a selector working in the warehouse experienced a finger sprain. The Form 301 did not include: 1) Name, title, phone number of the person that completed the forms. 2) Date the form was completed. 3) Name of the health care provider (#6). 4) Location where treatment was given (#7). 5) Specific information about what the employee was doing just before the incident occurred (#14). 6) Object or substance that directly harmed the employee (#17). b) On or about September 13, 2019, a recordable injury occurred when a selector working in the warehouse experienced a head contusion. The Form 301 did not include: 1) Name, title, phone number of the person that completed the forms. 2) Date the form was completed. 3) Name of the health care provider (#6). 4) Location where treatment was given (#7). 5) Specific information about what the employee was doing just before the incident occurred (#14). 6) Object or substance that directly harmed the employee (#17). c) On or about November 24, 2019, a recordable injury occurred when a selector working in the warehouse cooler experienced a hip strain. The Form 301 did not include: 1) Name, title, phone number of the person that completed the forms. 2) Date the form was completed. 3) Name of the health care provider (#6). 4) Location where treatment was given (#7). 5) Specific information about what the employee was doing just before the incident occurred (#14). 6) Object or substance that directly harmed the employee (#17). d) On or about November 25, 2019, a recordable injury occurred when a selector working in the warehouse cooler experienced a crushed foot. The Form 301 did not include: 1) Name, title, phone number of the person that completed the forms. 2) Date the form was completed. 3) Name of the health care provider (#6). 4) Location where treatment was given (#7). 5) Specific information about what the employee was doing just before the incident occurred (#14). 6) Object or substance that directly harmed the employee (#17). f) On or about December 3, 2019, a recordable injury occurred when a selector working in the loading dock area experienced a hip strain. The Form 301 did not include: 1) Name, title, phone number of the person that completed the forms. 2) Date the form was completed. 3) Name of the health care provider (#6). 4) Location where treatment was given (#7). 5) Specific information about what the employee was doing just before the incident occurred (#14). 6) Object or substance that directly harmed the employee (#17).
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