Inspection Detail

Inspection: 300966892 - Sam'S Club

Inspection Information - Office: Atlanta East Area Office

Inspection Nr: 300966892

Report ID: 0418100

Date Opened: 10/07/1996

Site Address:
Sam'S Club
5171 Eisenhower Pkwy.
Macon, GA 31206

Mailing Address:
702 Southwest 8th Street, Bentonville, AR 72716

Union Status: NonUnion

SIC:5399

NAICS: 0

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 01/14/1997

Emphasis:

Case Closed: 02/21/1997

Related Activity
Type	Activity Nr	Safety	Health
Accident	361093974

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations	1					1
Initial Penalty	$5,000	$0	$0	$0	$0	$5,000
Current Penalty	$3,000	$0	$0	$0	$0	$3,000
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	5A0001	01/16/1997	01/21/1997	$3,000	$5,000	$0		I - Informal Settlement

Investigation Summary

Investigation Nr: 201280088

Event: 10/04/1996

Employee killed when struck by truck rolling backward

At approximately 6:54 a.m. on October 4, 1996, Employee #1 was operating the hydraulic controls on the passenger side of a truck while an assistant finished loading it for a delivery. When the coworker closed the back door of the truck, it began to roll backward. Employee #1 ran from the passenger side around the rear of the truck to the driver's side. She was struck by the driver's side of the vehicle as it continued to roll backward and jumped the curb. Employee #1 sustained multiple blunt force trauma and crushing injuries, and was killed. The truck's parking brake was inoperable.

Keywords: LOADING, BRAKE, WORK RULES, EQUIPMENT FAILURE, CRUSHED, TRUCK, STRUCK BY, UNMANNED, LOST CONTROL, MOTOR VEHICLE

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	300966892			Fatality	Other	Occupation not reported

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