Inspection Detail

Inspection: 109203331 - Winn-Dixie Stores, Inc.

Inspection Information - Office: Tampa Area Office

Inspection Nr: 109203331

Report ID: 0420600

Date Opened: 10/22/1998

Site Address:
Winn-Dixie Stores, Inc.
3015 Coastline Drive
Orlando, FL 32808

Mailing Address:
5050 Edgewood Court, Jacksonville, FL 32254

Union Status: NonUnion

SIC:5141

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/22/1998

Emphasis:

Case Closed: 03/04/1999

Related Activity
Type	Activity Nr	Safety	Health
Accident	361088644
Complaint	202700571	Yes

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			1		2
Current Violations	1			1		2
Initial Penalty	$1,700	$0	$0	$0	$0	$1,700
Current Penalty	$1,275	$0	$0	$0	$0	$1,275
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	Serious	19100029 A04 II	02/03/1999	02/08/1999	$1,275	$1,700	$0		I - Informal Settlement
2.	02001	Other	19040002 A	02/03/1999	02/08/1999	$0	$0	$0		I - Informal Settlement

Investigation Summary

Investigation Nr: 202288361

Event: 10/12/1998

Employee Killed In Fall From Ladder Stand

Employee #1 was working alone at a truck repair facility removing a side door from a truck trailer. Employee #1 was working from a 15-ft ladder stand. Employee #1 was standing on the fourth or fifth step using a 4-pound sledgehammer to knock the hinge pins out of the door. Employee #1 apparently lost his balance and fell from the ladder stand, striking his head on the pavement. Employee #1 was hospitalized and died sixteen days later of his injuries.

Keywords: HEAD, LADDER, FALL, CONCUSSION, HAND TOOL, TRAILER, LOST BALANCE, DOOR

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	109203331			Fatality	Concussion	Bus, truck and stationary engine mechanics

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