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Inspection Detail
Inspection: 300824513 - Costco Wholesale Corporation
Inspection Information - Office: Modesto District Office
Site Address:
Costco Wholesale Corporation
25862 S Schulte Court
Tracy, CA 95377
Mailing Address:
999 Lake Drive, Issagua, WA 98027
Union Status: NonUnion
SIC:5311
NAICS: 452111/Department Stores (except Discount Department Stores)
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 11/07/2006
Emphasis:
Case Closed: 04/16/2007
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101103943 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $750 | $0 | $750 |
| Current Penalty | $0 | $0 | $0 | $750 | $0 | $750 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Other | 3650 S11 | 11/07/2006 | 12/10/2006 | $750 | $750 | $0 | - |
Investigation Summary
On May 31, 2006, Employee#1, a receiving clerk for Costco Wholesale, stepped in front of a Hyster riding forklift that was traveling forward carrying a double stacked load and was struck by the forklift. Employee #1 sustained a fractured hip and was hospitalized.
Keywords: FRACTURE, INDUSTRIAL TRUCK, STRUCK BY, HIP
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 300824513 | Hospitalized injury | Fracture | Traffic, shipping and receiving clerks |